Cough Flashcards
1
Q
What are the 4 stages of bacterial pneumonia?
A
- Congestion
- Red hepatization (consolidation)
- Grey hepatization
- Resolution (complete recovery)
2
Q
What is Tactile Fremitus?
A
- Vibration felt on patient’s chest during low frequency vocalization
- Increased over areas of consolidation
- Absent w/ effusion or pneumothorax
3
Q
How does Bronchial Obstruction present?
A
- Absent breath sounds
- Decreased percussion
- Tracheal deviation
4
Q
How does Pneumothorax present?
A
- Decreased breath sounds
- Hyperresonate to percussion
- Tracheal deviation away from side of lesion
5
Q
How does Asthma present?
A
- Hyperresonate to percussion
- Wheezing
6
Q
What is the most common bacterial pneumonia?
A
Streptococcus Pneumoniae
7
Q
How are these etiologies differentiated?
- Bacterial pneumonia
- Wheezing
- Barky cough
- Sore throat, myalgia
- Rash in May
A
- Bacterial pneumonia
- Fever, cough, tachypnea
- Wheezing
- Viral or asthma
- RSV/parainfluenza in winter
- Barky cough
- Croup
- Sore throat, myalgia
- Influenza
- Rash in May
- Viral
8
Q
How are these differentiated?
- CAP
- Sinusitis
- Bronchitis
- Influenza
A
- CAP
- Cough, SOB, Fever, Abnormal lung exam
- Sinusitis
- Day & night cough, fever, sinus tenderness, post-nasal drip
- Bronchitis
- Pediatrics, reactive airway disease, wheezing, afebrile, cough
- Influenza
- Sudden onset, high fever, myalgia, cough, sore throat, seasonal
9
Q
How do you treat CAP in….?
- Outpatient young child
- Outpatient adolescent
- Inpatient young child
A
- Outpatient young child
- Amoxicillin
- Outpatient adolescent
- Azithromycin
- Inpatient young child
- **Ampicillin or Cephalosporin **
- **+ Azithromycin **
10
Q
What are the 3 distinct stages of whooping cough?
A
- Catarrhal
- Paroxysmal
- Convalescent
