infec broncho pulmonaire communautaire Flashcards

1
Q

PAS avec ou sans atteinte parenchh pulmo?

A

avec

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2
Q

signes fonctionnels, généraux, auscultatoires

A

SF : toux, expectorations purulentes, dyspnée, douleur thoracique
SG : fièvre, asthénie
SA : sd de condensation alveolaire(crépitants, dim MV, souffle tubaire, augm VV) +/- sd pleural (abol MV, matité à la percussion)

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3
Q

score CRB65

A

confusion
frequence respi >30
PAS<90 + PAD <60
AGE 65 ans

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4
Q

examen systématique devant PAC

A

rxT de fac

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5
Q

critères de qualités ECBC

A

PNN>25/champ et cellules ép <10/champ

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6
Q

consequences respi PAC

A
  • nécessité ventilation assistée
    FR respi >30/min
    cyanose ou spO2<90% sous O2
    atteinte bilat, multilobaire, en extension
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7
Q

conséquences systématique PAC

A

oligurie
choc spetique
autres défaillances organiques severes

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8
Q

ano métabolique PAC

A

IR/hepatique
acidose severe
thrombopénie
hyperlactatémie
CIVD
leucopénie
hypothermie<36

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9
Q

quels sont les bactéries atypiques

A

mycoplasma pneumonia
chlamydophila pneumoniae
chlamydophila psittaci

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10
Q

TTT de réference pneumonies atypiques

A

macrolides (alternative pas en 1ere int =FQ)

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