Management

Question 1

SOB Investigations

Answer 1

2D Echo
12L ECG*

CXR*
Spirometry*

FBE

Question 2

Pulmonary Embolism Investigations

Answer 2

CT-Angiogram
Ventilation/ Perfusion Scan

Question 3

COPD in Acute Exacerbation Sec Pneumonia Management

Answer 3

Inhaler/Puffers (Start or Inc. dose) - Ventolin 4-8 puffs every 4 hours
Steroids - Prednisone 50mg
Antibiotics - Amoxicillin 500mg (if Fever and Sputum)

Question 4

Atelectasis Mx

Answer 4

X-Ray
Pain Medications
Fever - Panadol
Chest Physiotherapy
Supportive - Fluids
No Smoking

Question 5

Pneumonia Investigations

Answer 5

Blood Culture
Sputum Culture
Urine Antigen - Legionella and Penumococcal
Nasopharyngel Swab PCR - Influenza and COVID
FBE, ESR, CRP

Question 6

High Risk Pneumonia Mx

Answer 6

Pneumonia Severity Assessment
Pneumonia Inv.
Intensive Care - Monitor VS.
Possibility of Intubation - Mech Vent
Empiric Antibiotics - Cefuroxime + Azithromycin
Change once Culture is available

Question 7

IDA in the Elderly Mx

Answer 7

r/o CA
Endoscopy, Colonoscopy

Question 8

Pyelonephritis Mx

Answer 8

Inv. - Urine MCS
Refer ED for possible admission
Start IV antibiotics
Shift to Oral once stable has has MCS results - Upto 14 days of Ab
Check test of cure - after 1-2 weeks after treatment