1-uWorld Flashcards
can aspiration pneumonitis cause ARDS?
no
tx of choice for acute bronchitis
SABA
TRALI can occur during or within ___ hours of Transfusion
*********
6hrs
Abx of choice for acute bronchitis
NONE, not indicated (even w sputum production)
TRALI is due to ____ from donor’s blood
anti-leukocyte ab
when to give abx after aspiration pneumonitis
if no improvement in symptoms of wheeze, cough, shob (patient looks like they are declining) in 48hrs
timeline of acute bronchitis is cough after URI for ___ days
5days-3weeks
wells criteria for PE, score of ___ means likely PE
> 4
scoring for pe wells criteria
signs of DVT and alternative dx not likely: 3
recent surgery or tachy or prior PE: 1.5
cancer or hemoptysis: 1
if score >4 high likely PE, get CTA
specific tests for allergic bronchopulm aspergillosis
which test should be done first? then which one after?
FIRST
- Skin aspergillus test
(if negative, ABPA RULED OUT)
(if positive skin)
THEN
- serum IgE >400
- IgE or IgG antibodies SPECIFIC to aspergillus
what lung problems get ABPA
asthma and cystic fibrosis
tx of ABPA
corticosteroid and Itraconazole
pathophysiology of ABPA
aspergillus fumigatous spores cause inflammatory response–>
mucous impaction of bronchi, bronchocentric granulomatosis
co-occurs in asthma and CF patients
3 cardinal symptoms of COPD exac
incr sputum quantity
incr sputum quality change in color
worsening dyspnea
MCC of PulmHTN
L sided heart dz
first step in diagnosing or evaluating the CAUSE of Pulm HTN
TTE!!!!!!!!!!!!
(rule out L sided cardiac cause which is most common)
