Pneumonia

Question 1

R sided reduced vocal fremitus. Asymmetrical chest expansion. Dx?

Answer 1

R sided pleural effusion

Question 2

What is best Ix for pleural effusion?

Answer 2

CXR

Question 3

Once a pleural effusion is diagnosed, what should you do?

Answer 3

Pleural tap

Question 4

Which lab deals with pleural taps?

Answer 4

Clinical chemistry, microbiology and cytology (ALL)

Question 5

What are you looking for in the pleural tap at clinical chemistry lab?

Answer 5

Amount of protein in effusion

Question 6

What are the cut offs for transudate and exudate?

Answer 6

Transudate <30g/dl

Exudate >30g/dl

Question 7

What causes transudate pleural effusion?

Answer 7

R sided heart failure

Question 8

What causes exudate pleural effusion?

Answer 8

Infection and cancer

Question 9

What are you looking for in the pleural tap at microbiology lab?

Answer 9

Microscopy

Question 10

What is microscopy for?

Answer 10

Deciding if its gram + or -

Identify organism

Question 11

WHat are common causes of CAP?

Answer 11

Haemophillus influenzae

Pneumococcus (strep pneumoniae)

Question 12

Is Pneumococcus gram + or -?

Answer 12

+

Question 13

Is haemophillius gram + or -?

Answer 13

-