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  • Patogenia Neumonia

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    Sol Morales
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    This document discusses the pathogenesis, complications, prevention, diagnosis, laboratory tests, imaging, and treatment of pneumonia. It notes that pneumonia can enter the lungs through aspiration, hematogenous spread, or anatomical/immunological alterations. Complications can include pleural effusions, abscesses, and sepsis. Diagnosis involves assessing symptoms like cough and difficulty breathing along with microbiological testing of sputum, blood cultures, and imaging of lung infiltrates. Treatment depends on clinical findings, response to initial antibiotics, and follow up imaging to monitor resolution.

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    neumonia

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    This document discusses the pathogenesis, complications, prevention, diagnosis, laboratory tests, imaging, and treatment of pneumonia. It notes that pneumonia can enter the lungs through aspiration, hematogenous spread, or anatomical/immunological alterations. Complications can include pleural effusions, abscesses, and sepsis. Diagnosis involves assessing symptoms like cough and difficulty breathing along with microbiological testing of sputum, blood cultures, and imaging of lung infiltrates. Treatment depends on clinical findings, response to initial antibiotics, and follow up imaging to monitor resolution.

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    © All Rights Reserved
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    8 views11 pages

    Patogenia Neumonia

    Uploaded by

    Sol Morales
    This document discusses the pathogenesis, complications, prevention, diagnosis, laboratory tests, imaging, and treatment of pneumonia. It notes that pneumonia can enter the lungs through aspiration, hematogenous spread, or anatomical/immunological alterations. Complications can include pleural effusions, abscesses, and sepsis. Diagnosis involves assessing symptoms like cough and difficulty breathing along with microbiological testing of sputum, blood cultures, and imaging of lung infiltrates. Treatment depends on clinical findings, response to initial antibiotics, and follow up imaging to monitor resolution.

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    of 11

    PATOGENIA

    Localización: Barreras
    Parénquima anatómicas,
    pumonar células y proteínas

    Vías de ingreso

    Descendente

    Por aspiración

    Por alteraciones anatómicas, funcionales o


    inmunológicas

    Por diseminación hematógena


    COMPLICACIONES
    Pulmonar: derrame pleural o empiema,
    neumotórax, absceso pulmonar, fístula
    broncopleural, neumonía necrotizante e
    insuficiencia respiratoria aguda.
    Metastásico: meningitis, absceso en sistema
    nervioso central, pericarditis, endocarditis,
    osteomielitis, artritis séptica

    Sistémico: síndrome de respuesta inflamatoria


    sistémica o sepsis, síndrome hemolítico
    urémico.
    PREVENCIÓN
    DIAGNÓSTICO
    Dificultad
    Tos Tiraje Taquipnea
    Respiratoria
    LABORATORIO
    Pruebas Pruebas
    Pruebas virológicas
    microbiológicas complementarias
    • Hemocultivo • Influenza • BH
    • Esputo y tinción • Aspirados • Reactantes de
    Gram (líq. traqueales para fase aguda: VSG,
    Pleural) cultivo y Gram PCR o
    • Broncoscopía, procalcitonina.
    lavado • Oximetría de
    broncoalveolar, pulso: hipoxemia
    aspiración con
    aguja fina o
    biopsia pulmonar
    IMAGENOLOGÍA: RX TÓRAX

    Pctes Pctes
    Seguimiento
    ambulatorios hospitalizados
    Presencia, tamaño,
    Hipoxemia o No haya mejoría
    características de
    dificultad clínica, y deterioro
    infiltrados
    respiratoria 48-72 horas
    pulmonares

    Control 4-6
    TB pulmonar y
    Terapia ATB inicial semanas del Dx, en
    hallazgos clínicos
    fallida neumonías a
    no concluyentes
    repetición

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