4. Coughs

Question 1

Atypical pneumonia causes?

Answer 1

Mycoplasma pneumoniae - young, target like lesions
Legionella - fault A/Cs, low sodium
Chlamydia psittaci - birds
PCP - seen in HIV patients

Question 2

Gram negative and positive meaning?

Answer 2

Cocci are positive

Bacillus are negative

Question 3

Atypical pneumonia symptoms?

Answer 3

Dry cough
Low grade fever
Headache
Diarrhoea
Malaise

Question 4

CAP Management?

Answer 4

Amoxicillin
Clarithromycin (atypical cover)
Doxycycline

(bottom two are for penicillin allergy, use top two if bad CURB-65)

Erythromycin in pregnancy

Question 5

Bronchiectasis symptoms?

Answer 5

Large amounts of foul-smelling sputum (has pus in it).
Recurrent chest infections.
Causing clubbing (also caused by cancer, fibrosis, TB, CF, lung abscess)
Coarse crackles

High resolution CT is gold standard

Question 6

TB signs and symptoms?

Answer 6

Productive cough
SOB
Haemoptysis
Pleural effusion
Fever, weight loss, night sweets, lethargy, anorexia (same as cancer)
Erythema nodosum