Very very important for MRCP Exam & Practical Purposes


Very very important for MRCP Exam & Practical Purposes.

Best Guess Organisms for Pneumonia

  1. Young aged patients pneumonia, think=> #Mycoplasma pneumoniae.
    (#Viral infections are also recognised as important causes of CAP in children and their contribution to adult CAP is increasingly recognised.)
  2. Older aged pt pneumonia, think=> #Haemophilus influenzae.
  3. Post Influenza Pneumonia=> #Staphylococcus Aureus
  4. Pneumonia with Herpes Labialis / Rusty Sputum=> #Streptococcuspneumoniae
  5. Pneumonia, post honeymoon /travel with Cold shower/local outbreaks centred on contaminated cooling towers in hotels=> #Legionellapneumophila.
    6.Alcoholic Patient, pneumonia ± Red Current jelly sputum => #Klebseilla
    7.Recent foreign travel,
    a. MERS-coronavirus (Middle East),
    b. melioidosis caused by Burkholderia pseudomallei (South-east Asia and northern Australia) and
    c. endemic fungal infection (North, Central or South America)
  6. Pneumonia with Lung Abscess => Staph, Klebseilla, Pseudomonas.
  7. pneumonia with  Rapid onset  High fever  Pleuritic chest pain  Herpes labialis ----> Streptococcus pneumoniae
  8. Pnemonia with Ear/cns/skin/anaemia(haemolytic)/:heart: heart/Renal /GIT complications… ==> Mycoplasma
  9. Pneumonia with #Low Na, #Low pulse (relative Bradycardia), #Lymphopenic Leucocytosis, #LFT derranged, #Low ALP, Flu Like S/S, Urine RME positive for Protein-blood-myoglobin, GIT-ANVD(anorexia, Nausea, Vomiting, Diarrhoe)=== > #Legionella.

★★…Last MRCP Part 2 Exam, 3 Q,
Last two part 1 Exam, 5 Q.

© Dr. Ataullah, #Aid_to_MRCP

Reference: Davidson, Oxford, Question Bank