lungs Flashcards
how to treat a PTX that does not have tensions?
chest tube, they are stable. Need is needed for tension
Pulsus paradoxus
fall in systolic blood pressure of greater than 10mm Hg upon inspiration
- asthma
- pericardial tamponade
COPD exacerbation
- avoid mucokinetic agents
- b agonists like albuterol are good- most beneficial
CAP
Co-infection with multiple bacteria, such as Chlamydia and Strep pneumoniae commonly occur
People at increased risk for s. pneumo
alcoholism, diabetes, cardiovascular disease, splenectomy, sickle cell disease, malignancy, and immunosuppressive disorders. Vaccination is recommended for all people at increased risk
CMV PNA?
Cytomegalovirus does not usually cause pneumonia in immunocompetent adults
TB
1/3 world
4-6 %US
kleb pneumo
necrotizine, hemorrhagic process
abscess formation, empyeme and bacteremia
increased risk for tension ptx?
smoking
Cytomegalovirus does not usually cause pneumonia in immunocompetent adults
detected because of secondary signs, such as hyperinflation or atelectasis of the involved lung, rather than direct visualization of the aspirated contents
PEA and PE
33%
virchows triad
venous stasis, endothelial injury and hypercoagulability
Most common EKG findings with PE?
Tachycardia
S1 Q3T (inverted) 3 is suggestive but not diagnostic
mycoplasma pna
common in young adults
associated with bullous myringitis (ear)
legionella
atypical PNA
- elderly and co-morbid illneses
- associat with GI symptoms and bradycardia
