For Friday’s missed pearl:
CXR characteristics of pneumonia for the boards:
– Strep pneumoniae – single lobar infiltrate in lower lobes, small pleural effusion, abscess formation
– Group A strep – patchy multi-lower-lobe infiltrates, large pleural effusion
– H influenza – patchy basilar infiltrates, occ pleural effusion
– Klebsiella – upper lobe infiltrates, bulging fissure, abscess formation
– Staph A – patchy multicentric infiltrates, pneumothorax, empysema, abscess formation
Other classic sputum associations:
– bloody or rusty = pneumococcus
– currant jelly = klebsiella
– foul smelling = anaerobic
– green color = pseudomonas, h. flu or strep pneumoniae
