Lung stuff

Question 1

Reduced vocal resonance

Dullness on right side

Answer 1

Right pleural effusion

Question 2

What is the vocal resonance in pneumonia?

Answer 2

Vocal resonance increased (solid conducts)

Question 3

Pleural tab - why would you send to clinical chemistry? What are the two types of

Answer 3

Clinical chemistry - to measure amount of protein

Transudate - less than 30g
Exudate (high protein) - more than 30g/dl

Question 4

Exudates come from

Answer 4

Infection

Cancer

Question 5

What will the microbiology lab do

Answer 5

Microscopy, culture, sensitivity

Question 6

Two causative organisms of pleural effusion

Answer 6

Pneumococcus strep pneumoniae (g+vediploccoccus, purple)

Haemophilus influenza if smoker (g-ve rod)

Question 7

Treatment

Answer 7

Benzyl penecillin pneumo

amxocilln haemoph (but amox covers both CAPs

Question 8

Aminoglycosides

Answer 8

Gentamicin - gram negative

bacteriocidal

Question 9

Macrolides

Answer 9

Arithromycin - gram positive, bacteriostatic