Pneumonia
Lung Abscess
Lung Gangrene
Differential diagnosis of pneumonia
Complications and clinical pearls
100

Most common causative organism of community-acquired pneumonia is

Streptococcus pneumoniae

100

Definition of lung abscess


Localized collection of pus within lung parenchyma

100

Lung gangrene is considered an extension of which condition.? 


Severe necrotizing pneumonia / lung abscess

100

Condition mimicking pneumonia with sudden dyspnea and chest pain. 


Pulmonary embolism

100

Most common complication of bacterial pneumonia is..? 


Parapneumonic pleural effusion

200

What is the classic radiological finding of lobar pneumonia..? 


Homogeneous lobar consolidation with air bronchogram

200

Most common predisposing factor for lung abscess is..? 


Aspiration of oropharyngeal contents

200

What is the main pathological feature of lung gangrene..? 


Massive tissue necrosis with vascular thrombosis

200

What is the Non-infectious cause with bilateral infiltrates & pink frothy sputum..? 


Pulmonary edema

200

Which complication presents with sudden chest pain & breathlessness during pneumonia.. ? 


Pneumothorax

300

Pneumonia occurring ≥48 hours after hospital admission is called


Hospital-acquired pneumonia (HAP)

300

Most common organism in lung abscess is


Anaerobic bacteria (Bacteroides, Fusobacterium)

300

What is the common organisms causing lung gangrene.. ? 


Staphylococcus aureus, Klebsiella, anaerobes

300

Chronic condition with weight loss, night sweats, upper lobe involvement is... 


Pulmonary tuberculosis

300

Pneumonia complication characterized by pus in pleural space is.. 


Empyema thoracis

400

Most common cause of aspiration pneumonia is. 


Anaerobic bacteria from oropharynx

400

What is the classical X-ray finding in lung abscess..? 


Cavity with air-fluid level

400

What is the difference between lung abscess and lung gangrene.. ? 


Gangrene = multiple irregular cavities + sloughed lung tissue

400

What is the radiological finding favoring lung cancer over pneumonia is..?


Non-resolving consolidation / mass lesion

400

Why Klebsiella pneumonia commonly causes lung cavitation..? 


Necrotizing infection due to thick capsule

500

Why elderly patients with pneumonia may not present with fever. ? 


Impaired immune response → atypical presentation (confusion, delirium)

500

Why postural drainage is avoided in lung abscess initially.? 


Risk of spread of infection to healthy lung

500

What is the definitive management of lung gangrene if medical therapy fails..? 


Surgical resection (lobectomy / pneumonectomy)

500

Key feature differentiating pneumonia from ARDS is.. 


Pneumonia = focal infection,  ARDS = diffuse non-cardiogenic edema

500

Most dangerous complication of severe pneumonia leading to multiorgan failure is.. 


Sepsis → Septic shock