ER EOR Pulm Flashcards
what causes broncholitis in kids
RSV
what is given prophylavctaly for RSV
palivzumab
Barking cough with stridor what pathology
croup
what is the cause of croup
parainfluenza
what is the tx for croup
Dexamethazone + epi
what is she steeple sign associated with
croup
what is the thumb sign associated with
epiglottitis
what is the pathogen with epiglottitis
HIb
what is the tx for epiglotitis
ceftriaxone
what pathology has the 3D’s
epiglotitis
post cough emesis
wooping cough
how do you dx pertussis
PCP / nasal swab
what is the tx for pertusiis
eythromycin
what stage during pertusis are they most contagious
catarrhal
what stage during wooping cough is the woop
paraoxmysial
what will you see on CXR for foreign body aspiration
regional hyperinflation
what is the best dx for foreign body aspiration
bronchospy
describe ARDS
sepsis then you develop pulmonary edema
what is the CXR with with ARDS
white out pattern
what is the tx for ards
PEEP
what is the MC medication for flu (generic)
om
at what age can you not get the live virus
> 50
Caseating granuloma
TB
are peopel with reactivated TB contagious
yes
Lymph nodes scrofula what pathology
TB
how long after TB meds are they no longer contagious
2 weeks
what TB med causes thrombocytopenia
rifampin
what is th main LABA
salmeterol
what asthma quaifications is per month
night time awakenings
what are the top three causes of transudative pleural effusion
CHF
nephrotic syndrome
cirrhosis
what are the three lights criteria
protein > .5
LDH >.6
Pleural fluid LDH > 2/3 normal
how do you treat plural effution
thoracocentesis
what is the MC cause of PE
DVT
what is the MC symptom of a PE
dyspnea
what is teh MC sign of a PE
tachypnea
what is the classic traid of a PE
- dyspnea
- Pluritisc chest pain
- Hemoptysis
what is the best test for a PT
pulmonary angiographt
what is the 1st test for PE
CT
CXR
“wedge shape infiltrate that represents infarction”
hamptons hump
what is the metabolic dysfunction with PE
initially respiratory alkalosis then acidosis
what are the two options for a unstable PE
- thrombolysis
- embolectomy
the PERC is only used for people if they are what age
< 50
what lobe for aspiration
right lower lobe
what are the 2 MCC of CAP in adults
- Step penumo
- HIB
MCC of viral pneumonia kids
RSV
MCC of viral pneumonia adults
influenza
what is the 2 MCC of HAP
- Psudomonas
- MRSA
what is the relationship between pna and CXR
CXR may lag behind
klebsilla is what lobe
right upper
aspiration pna what lobe
right lower
what is one PE finding that is only on PNA
increased tactile fremitius
CAP OP tx
macrolide OR doxcy
CAP IP Tx
ceftriaxone + macrolide OR doxcy
Ceftriaxone + Levo
HAP IP Tx
zosyn + Levo + vac
how long after Pna 13 can they get 23
5 years
how do you tx HAP
clindamycin