Pleuropulmonary infections Flashcards
1
Q
Acute viral bronchitis- Eti
A
Inflammatory condition involving tracheobronchial tree
2
Q
Acute viral bronchitis- Sx
A
- Cough lasting 3+ weeks, fever, constitutional sx
- Rhonchi clears with cough
- Normal x-ray findings
3
Q
Acute viral bronchitis- Tx
A
- IV fluids, antipyretics, cough suppressants
- Quit smoking
4
Q
Anaerobic pneumonia- Eti
A
- Due to aspiration, poor dentition, periodontal disease- aspiration,
- Mutiple anaerobes: prevotella melaninogenica, peptostreptococcus
5
Q
Anaerobic pneumonia- sx
A
- Insidious, necrotizing pneumonia
- Foul smelling expectorant
- Constitutional sx
6
Q
Anaerobic pneumonia- Dx
A
- Culture not useful unless thoracentesis
- CXR- thick walled cavity surrounded by consolidation, cavitation
7
Q
Anaerobic pneumonia- Tx
A
- Clindamycin
- Surgery to drain
8
Q
Viral pneumonia- Eti
A
Influ A & B
9
Q
Viral pneumonia- Sx
A
- Severe dyspnea,
- Retrosternal chest pain
- Little sputum, mild hemoptysis
- Rales, rhonchi, wheezes and prolonged expiratory phase
10
Q
Viral pneumonia- Dx
A
- Rapid antigen test
- Shell viral culture
- CXR- variable: local to diffuse
11
Q
Viral pneumonia- Tx
A
Antiviral influenza agents- if taken within 36-48 hrs
- Supportive tx
12
Q
Typical bacterial pneumonia- Eti
A
Stept. pneumonia, Staph. aureus, H. influenza, Klebsiella
13
Q
Typical bacterial pneumonia- Sx
A
- Bronchial breath sounds, inspiratory crackles, dullness to percussion
- Fever, hypothermia, tachypnea
14
Q
Typical bacterial pneumonia- CXR
A
- parenchymal opacity, lobular or patchy clearing of opacities
15
Q
Typical bacterial pneumonia- Dx
A
CXR, sputum culture, CURB 65 criteria
