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PNEUMONIAS By  Dr Bashir Ahmed Dar Chinkipora  Sopore Kashmir Associate Professor Medicine Email  [email_address]
 
 
 
 
 
NOTE ,[object Object],[object Object],[object Object]
Definition of Pneumonia  ,[object Object],[object Object],[object Object]
Primary Pneumonia ,[object Object]
Secondary Pneumonia ,[object Object],[object Object]
Secondary Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classifications  by (causative agents) Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Viruses that cause acute pneumonia
Rev Tran &Protease
Re   transcriptase Protease
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Features of viral Pneumonias ,[object Object],[object Object],[object Object],[object Object]
Features of viral Pneumonias ,[object Object],[object Object]
Features of viral Pneumonias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object]
TULARAEMIA SKIN & GLANDULAR
BACTERIA THAT CAUSE PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANAEROBIC BACTERIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gram-Negative Bacteria ,[object Object]
Gram-Negative Bacteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features of Bacterial Pneumonia ,[object Object],[object Object],[object Object],[object Object]
Features of Bacterial Pneumonias ,[object Object]
Signs of Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fungal Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fungal Pneumonia ,[object Object],[object Object]
[object Object]
Clinical features of fungal Pneumonias ,[object Object],[object Object],[object Object],[object Object]
Clinical features of fungal Pneumonias ,[object Object],[object Object]
Protozoal Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Protozoal or Parasitic Pneumonia ,[object Object]
Rickettsial Pneumonia ,[object Object],[object Object],[object Object],[object Object]
Rickettsial Pneumonia ,[object Object],[object Object]
Rickettsial Pneumonia ,[object Object],[object Object],[object Object]
Features of Rickettsial infection ,[object Object]
Features of Rickettsial infection ,[object Object],[object Object]
Features of Rickettsial infection ,[object Object]
ATYPICAL BACTERIA ,[object Object],[object Object],[object Object]
ATYPICAL BACTERIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ATYPICAL BACTERIA ,[object Object],[object Object],[object Object],[object Object]
Classification of Pneumonias  ,[object Object],[object Object],[object Object],[object Object]
Lobar Pneumonia ,[object Object]
Broncho-Pneumonia ,[object Object]
 
[object Object]
Pathogenesis of Bronchopneumonia ,[object Object],[object Object],[object Object]
 
Broncho-Pneumonia ,[object Object]
Liver Abomasum Diaphragm  These are the lungs from a cow with severe  bronchopneumonia and fibrinous pleuritis.
This is the same lung cut open showing deposits of fibrin between sections of lung with bronchopneumonia.
These are lungs from a cow with severe  Pasteurella bronchopneumonia.
This is severe bacterial bronchopneumonia and pleuritis in a pig caused by Actinobacillus pleuropneumonia .
This is a closer look at the same lung.  Again, note the black line.  The  darker red tissue has severe  Pasteurella  bronchopneumonia.  The white spots are abscesses.
Here is the same lung cut open to show The severe bronchopneumonia and numerous abscesses (white spots)
Bacterial pneumonia in a pig.  Areas with inflammation are dark  pink.  Normal lung is light pink.
This is the same lung cut open showing areas of inflammation (dark pink)  and Normal tissue (light pink)
These are the lungs from a cow with chronic bronchopneumonia.  The areas with inflammation are to the right of the black lines.  Within the areas of inflammation are numerous abscesses  (white spots).
This is the same lung cut open to show areas of inflammation and abscess formation (white spots).  The normal lung is the white colored region to the  far right.
This is severe fibrinous pleuritis and pneumonia caused by aspirating foreign material into the lung.
This is the same lung cut open to show regions of the lung with severe inflammation and necrosis.
These are the lungs of a horse with chronic, fibrous pleuritis.  Note  how the fibrous material appears organized and is stuck to the  surface of the lung.
Atypical or Interstitial or viral Pneumonia ,[object Object]
Atypical or Interstitial or viral Pneumonia ,[object Object]
 
CAUSES OF ATYPICAL PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CAUSES OF ATYPICAL PNEUMONIA ,[object Object],[object Object],[object Object]
Mycoplasma ,[object Object],[object Object]
Mycoplasma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEGIONELLA ,[object Object]
LEGIONELLA ,[object Object],[object Object]
Chlamydial infection ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chlamydial infection ,[object Object]
Q- FEVER ,[object Object]
TULAREMIA--ANTHRAX ,[object Object],[object Object],[object Object]
TULARAEMIA SKIN & GLANDULAR
ANTHRAX ESCHAR
HISTOPLASMOSIS ,[object Object],[object Object],[object Object]
[object Object]
COXIELLA BURNETII ,[object Object],[object Object]
Atypical or Interstitial or viral Pneumonia ,[object Object],[object Object]
CHEMICAL PNEUMONIA ,[object Object],[object Object]
Serological tests for atypical pneumonia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Serological tests for atypical pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Serological tests for atypical pneumonia ,[object Object],[object Object]
Classification by mode of acquiring pneumonia ,[object Object],[object Object]
Community acquired pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nosocomial pneumonia ,[object Object],[object Object],[object Object]
Nosocomial pneumonia ,[object Object],[object Object],[object Object],[object Object]
ASPIRATION PNEUMONIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS THAT FORM BASIS OF SECONDARY PNEUMONIAS ,[object Object],[object Object],[object Object]
Route of Entry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Route of Entry ,[object Object]
Route of Entry ,[object Object]
Route of Entry ,[object Object]
Route of Entry ,[object Object]
Route of Entry ,[object Object]
Pathogenesis and four phases of pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Congestion (1-2 days) ,[object Object],[object Object],[object Object]
Red hepatization  (2nd-4th day) ,[object Object]
Gray hepatization (4th-6th day) ,[object Object]
Gray hepatization (4th-6th day) ,[object Object]
Resolution (6 th  day onwards) ,[object Object]
Diagramatic pathogenesis
Pathogenesis how organism reaches alveoli
Pathogenesis of Pneumonia Congestion Red Hepatisation Grey Hepatization Resolution
Summary of Stages of Lobar Pneumonia: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations of Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations of Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT OF PNEUMONIA ,[object Object],[object Object],[object Object],[object Object]
TREATMENT OF PNEUMONIA ,[object Object],[object Object],[object Object]
TREATMENT OF PNEUMONIA ,[object Object],[object Object]
TREATMENT OF PNEUMONIA ,[object Object]
TREATMENT OF PNEUMONIA ,[object Object],[object Object],[object Object]
TREATMENT OF PNEUMONIA ,[object Object],[object Object],[object Object]
Treatment for rickettsial infection  ,[object Object],[object Object],[object Object],[object Object]
Treatment for fungal infections ,[object Object]
Treatment for fungal infections ,[object Object]
Treatment for fungal infections ,[object Object],[object Object]
Treatment for fungal infections ,[object Object],[object Object],[object Object]
Treatment for fungal infections ,[object Object],[object Object],[object Object]
Treatment for fungal infections ,[object Object],[object Object],[object Object],[object Object]
Treatment for fungal infections ,[object Object]
Treatment for fungal infections ,[object Object],[object Object]
Treatment for fungal infections ,[object Object],[object Object]
Treatment for fungal infections ,[object Object],[object Object]
Treatment for viral infections ,[object Object],[object Object],[object Object]
Treatment for viral infections ,[object Object],[object Object],[object Object],[object Object]
Afebrile Pneumonia Syndrome ,[object Object]
Afebrile Pneumonia Syndrome ,[object Object],[object Object]
Factors that are associated with increased risk of contracting APS in infants include the following : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIOLOGY ,[object Object]
Anatomy
Normal Chest Radiograph
Anatomy
Lobes ,[object Object]
Lobes  (continued) ,[object Object]
Lobes  (continued) ,[object Object]
Lobes  (continued) ,[object Object]
Lobes  (continued) ,[object Object]
Lobes  (continued) ,[object Object]
Lobes  (continued) ,[object Object]
RUL pneumonia
RML pneumonia
RLL pneumonia
LUL pneumonia
LLL pneumonia
What’s happened here? Right upper  lobe collapse
  Bulging Fissure Sign Consolidation spreading rapidly, causing lobar expansion and bulging of the adjacent fissure inferiorly .  Historically Klebsiella pneumoniae involving the right upper lobe . Friedlander pneumonia.
ATYPICAL PNEUMONIA ,[object Object]
INTERSTITIAL / ATYPICAL PNEUMONIA
ATYPICAL PNEUMONIA
 
 
Bronchopneumonia
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Thank you. Always take  proper detailed history of a patient.

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X-RAYS ON PNEUMONIA BY DR BASHIR AHMED DAR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR

  • 1. PNEUMONIAS By Dr Bashir Ahmed Dar Chinkipora Sopore Kashmir Associate Professor Medicine Email [email_address]
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  • 41. TULARAEMIA SKIN & GLANDULAR
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  • 73. Liver Abomasum Diaphragm These are the lungs from a cow with severe bronchopneumonia and fibrinous pleuritis.
  • 74. This is the same lung cut open showing deposits of fibrin between sections of lung with bronchopneumonia.
  • 75. These are lungs from a cow with severe Pasteurella bronchopneumonia.
  • 76. This is severe bacterial bronchopneumonia and pleuritis in a pig caused by Actinobacillus pleuropneumonia .
  • 77. This is a closer look at the same lung. Again, note the black line. The darker red tissue has severe Pasteurella bronchopneumonia. The white spots are abscesses.
  • 78. Here is the same lung cut open to show The severe bronchopneumonia and numerous abscesses (white spots)
  • 79. Bacterial pneumonia in a pig. Areas with inflammation are dark pink. Normal lung is light pink.
  • 80. This is the same lung cut open showing areas of inflammation (dark pink) and Normal tissue (light pink)
  • 81. These are the lungs from a cow with chronic bronchopneumonia. The areas with inflammation are to the right of the black lines. Within the areas of inflammation are numerous abscesses (white spots).
  • 82. This is the same lung cut open to show areas of inflammation and abscess formation (white spots). The normal lung is the white colored region to the far right.
  • 83. This is severe fibrinous pleuritis and pneumonia caused by aspirating foreign material into the lung.
  • 84. This is the same lung cut open to show regions of the lung with severe inflammation and necrosis.
  • 85. These are the lungs of a horse with chronic, fibrous pleuritis. Note how the fibrous material appears organized and is stuck to the surface of the lung.
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  • 99. TULARAEMIA SKIN & GLANDULAR
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  • 130. Pathogenesis how organism reaches alveoli
  • 131. Pathogenesis of Pneumonia Congestion Red Hepatisation Grey Hepatization Resolution
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  • 176. What’s happened here? Right upper lobe collapse
  • 177. Bulging Fissure Sign Consolidation spreading rapidly, causing lobar expansion and bulging of the adjacent fissure inferiorly . Historically Klebsiella pneumoniae involving the right upper lobe . Friedlander pneumonia.
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  • 186. Thank you. Always take proper detailed history of a patient.

Notas del editor

  1. Continuing with the definition : Acquired by a patient in the following settings: 1. In a hospital or long-term-care facility after being admitted for >48 hours or 2. <7 days after a patient is discharged from the hospital with the caveat that the patient’s initial hospirtalization should be  3 days duration.
  2. Let me start with the disease definition of Acute Nosocomial bacterial pneumonia which is broadly defined as a pneumonia characterized by a new cough with auscultatory findings of pneumonia in conjunction with a new inflitrate or progressive infiltrate or infiltrates on chest radiograph accompanied by: fever or hypothermia, leukocytosis and sputum production which could be purulent , caused by polymicrobial organisms