Infectious Disease

Question 1

How does strep pneumoniae present? (MC)

Answer 1

Productive rusty cough

Question 2

What is atypical CAP?

Answer 2

• MC: mycoplasma pneumoniae - walking pneumonia

- Fever, dry cough, bullous myringitis, erythema multiform/nodosum.

Question 3

What infections do you expect to see in an aids patient?

Answer 3

Pneumocystis Jiroveci

Question 4

What infections do you expect to see in a smoker?

Answer 4

• Acute bronchitis
• CAP
• Legionella pneumophila

Question 5

Air conditioning can cause what type of infections?

Answer 5

Legionella pneumophila- MC in younger adults

Question 6

6. What physical features do you expect in someone with pneumonia?

Answer 6

1. Fever
   
   2. Cough
   3. Pleuritic chest pain
   4. Dyspnea
   5. Fatigue
   6. Sweat, chills, rigors
   7. Anorexia
   8. Myalgias
   9. HA
   10. Tachypnea
   11. Tachycardia
       
       12. HypoTN

Question 7

What is the pathology of bronchitis?

Answer 7

Inflammation of trachea, bronchi, and bronchioles

Question 8

Bronchitis <2 wks means?

Answer 8

• Inflammation of tracheo-brachial tree usually viral

- ex: Rhinovirus, Coronavirus, RSV

Question 9

Bronchitis >2 wks means?

Answer 9

Mucopurulent cough and fever, likely bacterial

Question 10

Bronchitis Treatment

Answer 10

• Supportive: hydration, expectorants, analgesics, B2 agonist, cough suppressants
• Antibiotics: indicated for elderly, cardiopulmonary disease, immunocompromised pts.