pneumonia and PE Flashcards
if there is a question with vitals and asking what next best plan is what method are they looking for you to use
CURB-65
curb-65 stands fro
confusion AMST under 8
urea over 7
90/60 BP or high or low
over age of 65
scoring for curb what happens
under 2 is home treatment
2 is hospital treatment
3-5 ITU
treatment for community acquired p
oral amoxicillin
then add clarithroymcin ( macrolide)
then go IV
treatment for hospital acquire dpenumonia
oral eco-amoxiclac
2n lien is TAzocin
pulmaory oedema management
IV furesemide
what score s used for risk stratifying in patients with PE
wells score
if wells score is less than 4 what happens
D dimer measures - low measure excludes PE
raised - CTPA or V/Q
what happens if wells score more than 4
imaging and molecular heparin admitted
wells score
3 points
clinical signs of DVT
no diagnosis more than PE
1.5
tachycardia
immobile for 3 dyas
previous PE or DVT
1 pain
haemoptyhsis
active malignancy
triad of SOB, cough and fever as well as exercise-induced desaturation - risk groups such as immunocompromised and HIV
Pneumocystis jirovecii
diagnostic intervention for lofgren sydnrome - sarcodosis
Bronchoscopy with a transbronchial lung biopsy
Definitive diagnosis of sarcoidosis is achieved through a biopsy showing non-caseating granulomas. Note that on occasion, a patient may present with a constellation of clinical findings that is so specific for sarcoidosis that the diagnosis may be made empirically without the need for a confirmatory biopsy (e.g. Lofgren’s syndrome)
recurrent fever despite antibiotic treatmenet for pneumonia suggestive of
empyema - supported by pleural fluid aspirate ph reading of 7.2 which is diagnsotic - need chest drain under radiolgical guidance
