Pneumonia Flashcards
landmark of upper resp tract?
vocal cords
3 causes of commons cold?
adenovirus
rhinovirus
rsv
complications of a commons cold?
sinusitis and bronchitis
sinusitis is mostly which aetiology?
mostly viral
most sinusitis cases resolve in what time frame?
10 days
not seen in UK anymore, characteristic pseudomembrane?
diptheria
what does HiB vaccine vaccinate against? what can this cause in kids?
HInfluenza type B, can cause epiglottitis
the cold that goes to the chest?
acute bronchitis
what can the chest x ray look like in acute bronchitis?
normal
treatment of acute bronchitis?
antibiotics are to indicated
incubation time of
rhinovirus
parainfluenza
RSV
1-5 days
1-4 days (paratr)
RSV (1week/7 days )
manamgent of acute exacerbation of COPDocs?
amoxicilin or doxycycline
why is reactivation of herpes simplex common in pneumonia?
due to alteration of the immune system
what is CURB 65?
confusion urea over 7 resp rate over 30 bp - systolic less than 95 or diastolic less than 61 age over 65
what pneumonia does this score only apply to?
community acquired pneumonia
3 causitive organisms for pneumonia?
s. pneumoniae, Haemophilus influenza, legionella
causitive organisms from birds?
chlamydia psiticchi
what can adult smokers with chicken pox die from?
chicken pox pneumonia
antibiotics given for pneumonia?
a and d
what do you need to give for aspiration pneumonia?
anaerobic cover
what do you need to give for hospital acquired?
gram negative cover
staph epidermidis - gram stain?
gram negative (pink skin)
staph aureus - positive or negative?
positive (A +)
In legionella, chest symptoms may be minimal, but what two things are common
GI disturbance and confusion
in chronic bronchitis, there is hypertrophy of the mucus secreting glands and in increase in the number of which type of cells?
goblet cells
an example of a LAMA?
tiotropium
complications of pneumonia?
- Resp failure
- Pleural effusion
- Empyema
- Death