LRTI Flashcards

1
Q

What is the definition of acute bronchitis?

A

Inflammation of the bronchi

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2
Q

What is exacerbation of COPD?

A

Sudden worsening of COPD symptoms

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3
Q

What is pneumonia?

A

An LRTI with bacteria, involves filling of the alveoli with bacterial cells and fluid

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4
Q

What is bronchiectasis?

A

Abnormal widening of the bronchi

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5
Q

What is a lung abscess?

A

Localised collection of infection, not that common in respiratory medicine

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6
Q

What is the UK incidence of pneumonia?

A

5-11 per 1000

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7
Q

What are the main symptoms of pneumonia?

A
Malaise
Fever
Chest pain
Cough
Purulent sputum
Dyspnoea
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8
Q

What is the problem with pneumonia symptoms?

A

They are very non-specific

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9
Q

What is rusty sputum produced from?

A

Pneumococcal pneumonia

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10
Q

What is rusty sputum?

A

Sputum tinged with blood

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11
Q

What is tachpnoea?

A

A fast respiratory rate

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12
Q

Which test offers the best microbiological diagnosis?

A

Blood culture

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13
Q

What is the name of teh pneumonia severity scoring chart?

A

CURB 65

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14
Q

What is an empyema?

A

Infection of the pleural space

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15
Q

What type of patients will generally have advanced bronchiectasis?

A

Patients with cystic fibrosis

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16
Q

What are the 2 main symptoms of bronchiectasis?

A

Chronic cough

Daily sputum production

17
Q

What are the 3 main bacteria that cause bronchiectasis?

A

H. influenzae
Staph aureus
Pseudomonas Aeruginosa

18
Q

What is tracheitis?

A

Prolonged croup with a fever

19
Q

What is the definition of biphasic stridor?

A

Sounds on inhalation and exhalation

20
Q

Is bronchitis self-limiting?

A

Mostly, yes

21
Q

What is the mechanism of bacterial bronchitis?

A

Disturbed mucociliary clearance

22
Q

What type of infection is bacterial bronchitis?

A

Secondary

23
Q

Which virus is bronchiolotis usually caused by?

A

RSV`

24
Q

How can you tell if it is NOT bronchiolitis?

A

If they have had bronchiolitis before, as bronchiolitis is a one off infection - NOT RECURRENT

25
Q

What are the 3 main things required in the management of bronchiolitis?

A

Oxygenation
Hydration
Nutritition

26
Q

What does a wheeze make unlikely in LRTIs?

A

Bacterial cause

27
Q

What should CXRs only be used for in diagnosing LRTIs?

A

Only to confirm clinical findings

28
Q

What does vaccination reduce in pertussis?

A

Risk and severity

29
Q

How can empyema be a complication of pneumonia?

A

There is an extension of infection into the pleural space