Lower Respiratory Tract Infections Flashcards

1
Q

What causes acute bronchitis?

A

Complication of a viral URTI

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2
Q

What is chronic bronchitis?

A

A cough that is productive and lasts for three months of the year - it is not an infection but makes you susceptible to infection

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3
Q

What pathogens cause infection in chronic bronchitis?

A

pneumoccoci and h. influenzae

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4
Q

What is bronchiolitis

A

An infection which most commonly occurs to children in the first year of life and gives symptoms similar to asthma - may be caused by maternal antibodies to RSV

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5
Q

What is the most common cause of bronchiolitis?

A

RSV

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6
Q

What is acute bacterial pneumonia?

A

Pneumonia caused by bacteria that has a sudden onset and causes inflammation within the airways - CXR will show one area that is completely white out

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7
Q

What is atypical pneumonia?

A

Pneumonia caused by either bacteria or virus that has a slower onset and longer course and causes inflammation of the interstitial tissue - CXR will show patchy consolidation

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8
Q

What are the causes of acute bacterial pneumonia?

A

Mostly pneumoccocus but also h. influenzae, staph, klebs, legionella, TB, chlamyophila

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9
Q

What are the causes of atypical pneumonia?

A

Most commonly mycoplasma but also chlamydia, m. catarrhalis, influenza, RSV, adenovirus

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10
Q

Why can’t mycoplasma be treated with penicillin?

A

Because it lacks a cell wall

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11
Q

What causes lung abscess?

A

mixed anaerobes with or without staph or klebs

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12
Q

What is empyema?

A

Pus in the pleural space

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13
Q

What commonly causes empyema?

A

Staph aureus

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14
Q

What are the clinical considerations in the diagnosis of pneumonia?

A

Whether it is community acquired or hospital acquired, the severity index, underlying illness, risk factors e.g. contact with animals, air conditioning, soil, travel, homelessness

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15
Q

What disease is spread from animal hides?

A

Anthrax

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16
Q

What bacteria is spread from air conditioners?

A

Legionella

17
Q

What infection is common in the homeless?

A

mycobacterium

18
Q

Which pathogens is a serological diagnosis of pneumonia useful for?

A

mycoplasma pneumoniae, legionella pneumophila, chlamydophila, coxiella burnetii - organisms that are hard to culture

19
Q

What pathogens must there be a specific diagnosis for?

A

SARS, MERS, pandemic influenzas, legionella, anthrax, plague, community acquired MRSA

20
Q

What is the best guess treatment for a community acquired pneumonia?

A

A beta lactam (penicillin G or amoxycillin) and a tetracycline or macrolide

21
Q

What vaccines are available for pneumonia?

A

Influenza vaccine or pneumoccocal vaccines