Pathology (not in Pathoma)

Question 1

Febrile

leukocytosis

Answer 1

20% don’t have either of these

lower end of leukopenia in severe bacteremia

Question 2

Failure to respond to normal empiric Abx therapy

Answer 2

think fungal pneumonia

Question 3

Common influenza complication

Answer 3

S. aureus pneumonia

from influenza A/B complication

Question 4

Empyema

Answer 4

puss-filled space

complication of pneumonia

may need to be drained

Question 5

Urinary antigen testing

Answer 5

able to test for bacteria present in blood

Question 6

“Patchy” pneumonia pattern

Answer 6

bronchial pneumonia

Question 7

Infection distribution patterns in pneumonia

Answer 7

bronchial: pathy
lobar: consolidated more

Question 8

Procalcitonin test

Answer 8

increased in bacterial infection but not viral disease

Question 9

Common fungal pneumonia

Answer 9

blastomycoses

Question 10

Bronchiectasis

Answer 10

permenant dilation of bronchioles

Question 11

Cause of bronchiectasis

Answer 11

recurrent bronchial infection

Question 12

Sx of bronchiectasis

Answer 12

cough

daily mucopurulent sputum

months/years

dyspnea/wheezing due to airway collapse

rhinitis and hemoptysis association

Question 13

Strange extreme treatment for empysema

Answer 13

partial lung resection

gives rest of lung more space to expand

Question 14

Status asthmaticus

what is it

Answer 14

sustained bronchoconstriction

needs urgent medical attention

Question 15

Pneumococcus

Answer 15

S. pneumoniae

colonizes 20% of people

Question 16

Definitive Dx of pneumococcus

Answer 16

grown in pleural fluid or blood

positive urine antigen

Question 17

Splenectomy and pneumonia

Answer 17

vaccine against pneumococcus

encapsulated

Question 18

CXR showing volume loss + pulmonary opacification

Answer 18

atelectasis

Question 19

How to differentiate fungal nodule from lung cancer

Answer 19

central calcification

lung cancer typically too aggressive to calcify

Question 20

Bird/bat droppings bugs

Answer 20

histoplasmosis

Question 21

Pneumonia from bat droppings

Answer 21

histoplasmosis

Question 22

Most common fungal infection around here

Answer 22

blastomycosis

Question 23

How blastomycosis earns its name

Answer 23

very large yeast cells

Question 24

Southwestern US fungi

Answer 24

coccidiomycosis

Question 25

Flash pulmonary edema

Answer 25

ARDS due to cardiogenic pulmonary edema

Question 26

Signs and Sx of ARDS

Answer 26

dyspnea

hypoxemia

diffuse pulmonary infiltrates