Pneumologie at RWTH Aachen

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Study with flashcards and summaries for the course Pneumologie at the RWTH Aachen

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Erreger nosokomial erworbene Pneumonie

Exemplary flashcards for Pneumologie at the RWTH Aachen on StudySmarter:

Erreger Neugebornen Pneumonie

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Medikamentöse Therapie Aspirationspneumonie

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Exemplary flashcards for Pneumologie at the RWTH Aachen on StudySmarter:

Legionellen 
AB Therapie 

Exemplary flashcards for Pneumologie at the RWTH Aachen on StudySmarter:

Pneumocystis jirovecii Pneumonie
Diagnostik

Exemplary flashcards for Pneumologie at the RWTH Aachen on StudySmarter:

Tuberkulin Hauttest

Eigenname

Exemplary flashcards for Pneumologie at the RWTH Aachen on StudySmarter:

Jüngling Syndrom

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Therapie Sarkoidose

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Häufige Ursachen Transsudat

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Häufige Ursachen Exsudat

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Meigs Syndrom

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Erreger ambulant erworbene Pneumonie

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Exemplary flashcards for Pneumologie at the RWTH Aachen on StudySmarter:

Pneumologie

Erreger nosokomial erworbene Pneumonie

Vor allem gramnegative Erreger (wie Pseudomonas aeruginosa und Enterobacteriaceae) und Staphylokokken (gram pos.)

Pneumologie

Erreger Neugebornen Pneumonie

E. coli; Streptokokken B (Streptococcus agalactiae); Pneumokokken; Hämophilus influenzae

Pneumologie

Medikamentöse Therapie Aspirationspneumonie

Cepholosporine der Gr. II (z.B. Ceftriaxon) und Clindamycin

Alternativ:

Ampicillin/Sulbactam

Moxifloxacin

Pneumologie

Legionellen 
AB Therapie 
AB-Therapie über 5-10d, bei Immunsuppression 21d

1.Wahl: Levofloxacin (Fluorchinolon)
Alternativ: Makrolide (z.B. Chlarithromycin)

Pneumologie

Pneumocystis jirovecii Pneumonie
Diagnostik
Labor: 
  • Typisch LDH-Erhöhung (auch guter Verlaufsparameter/Prognoseparameter)
  • Mikroskopischer Erregernachweis BAL, Sputum schwierig 
  • Keine Serologie möglich, Erreger nicht anzüchtbar 

Lungenfunktion:
  • pO2 stark reduziert 
  • VC reduziert 
  • Diffusionskapazität reduziert

RöThx:
Interstitielle Zeichnungsvermehrung, später flächige Infiltrate ( symmetrisch, milchglasartig, schmetterlingsartig)

CT
hilär betonte milchglasartige Trübungen u.a.

Pneumologie

Tuberkulin Hauttest

Eigenname

Mendel-Mantoux-Test

Pneumologie

Jüngling Syndrom

Sarkoidose der Knochen mit zystischen Befall der Finger (Endphalangen) und Zehen


-> Rö des Handgelenks

Pneumologie

Therapie Sarkoidose

Akute: NSAR

Chronisch: 

1. Glukokortikoide

2. Glukokortikoide + Immunsuppressiva -> Methotrexat oder Azathioprin (Prodrug 6-Mercaptopurin)

3. Glukokortikoide + Anti-TNf alpha AK

4. Ultima ratio: LungenTx

Pneumologie

Häufige Ursachen Transsudat

Druck

  • Herzinsuffizienz
  • Leberzirrhose
  • Nephrotisches Syndrom
  • (Lungenembolie, 20% sind Transsudat)

Pneumologie

Häufige Ursachen Exsudat

Durchlässigkeit

  • Pneumonie (parapneumonischer Erguss) -> Häufigste Ursache für einen Pleuraerguss (20%)
  • Malignom bspw. Pleurametastasen
  • Lungenembolie (zu 80% Exsudat) -> Hinweis auf Lungeninfarkt
  • (Tuberkulose)

Pneumologie

Meigs Syndrom

Syndromale Form des Pleuraergusses;

Raumforderung des Ovars und i.d.R. bds. Pleuraergüsse

Pneumologie

Erreger ambulant erworbene Pneumonie

Pneumokokken (häufigster Erreger junge Erwachsene); Haemophilus influenzae (bei Ungeimpften); Mycoplasma pneumoniae und Chlamydia pneumoniae (bei Kindern und Jugendlichen)

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terminologie

Gastro

Apparative Verfahren / Audiologie

Poltern

Endokrinologie

ßBlocker

Zellbiologie Biologie

Kardiologie

Gesichtsschädel + Hals

Physik

Gehirn

Derma

Muskeln

Thorax inkl. Mamma

HKL - Pharma Herzinsuffizienz

Anatomie HKL

Pneumologie_ILE at

Medizinische Universität Wien

Innere Med I - Pneumologie at

Universität Frankfurt am Main

Neumologia at

Universidad San Martin de Porres

Pneumo at

Medizinische Universität Wien

pneumo at

University of Craiova

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