Pneumonia DSA and CIS I Flashcards

1
Q

most common cause of infectious death in world

A

pneumonia

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2
Q

dx of pneumonia

A

fever, chills, leukocytosis

cough, sputum, dyspnea, chest pain, abnormal pulmonary exam

changes on CXR

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3
Q

population for pneumonia

A

65yo

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4
Q

typical pneumonia bugs

A

strep pneumonia
h flu
moraxella catarrhalis

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5
Q

atypical pneumonia bugs

A

legionella
mycoplasma
chlamydia pneumonia
viruses

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6
Q

fever, rigors, cough with sputum, lobar infiltrates on CXR

A

typical pneumonia

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7
Q

dry cough with diffuse patchy infiltrate on CXR

A

atypical pneumonia

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8
Q

elderly

A

only mental status changes

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9
Q

atypical coverage

A

macrolides
doxycycline
FQs

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10
Q

hospitalized CAP tx

A

resp FQ (moxi,levo)

OR

2,3 generation cephalosporin and macrolide

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11
Q

shock

A

need to be treated within an hour of developing hypotension

antibiotic treatment

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12
Q

health care associated pneumonia

A

MRSA and pseudomonas

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13
Q

criteria for health care associated pneumonia

A

hospitalized > 2 days previous 90 days

nursing home

home infusion therapy

hemodialysis

home wound care

fam member with MDR pathogen

immunosuppression

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14
Q

pneumonia specific criteria for health care associated pneumonia

A

hospitalization > 2 days

antibiotics previous 90 days

non-ambulatory

tube feeding

immunocompromised

gastric acid suppressive agent

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15
Q

MRSA

A
cavitary infiltrate
pleural effusion
gross hemoptysis
concurrent influenza
neutropenia
erythematous rash
skin pustules
pneumonia during summer
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16
Q

legionella antigen

A

urinary

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17
Q

good sputum gram stain

A

less than 10 squamous and more than 25 leukocytes

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18
Q

thoracentesis

A

should be performed if greater 10mm pleural fluid

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19
Q

CURB-65

A
confusion
uremia - BUN > 20
respirations >30
BP < 90/60
age 65

score >3 - hosp is appropriate

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20
Q

ICU admission

A

3 or more
-confusion, BUN, tachypnea, multiplbar infiltrates, hypoxemia, thrombocytopenia, hypotension, hypothermia, leukopenia, lactic acidosis, low pH, low albumin, tachycardia, elderly

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21
Q

smokers

A

strep pneumo
h flu
moraxella
legionella

22
Q

COPD

A

strep pneumo
h flu
moraxella
legionella

23
Q

alcoholism

A

drug resistant strep pneumo, anaerobe, TB

24
Q

bird exposure

A

psittacosis

25
Q

bird dropping

A

histoplasmosis

26
Q

rabbits

A

tularemia

27
Q

farm animal

A

Q fever

28
Q

bio-terrorism

A

b. anthtacis
f. tularensis
y. pestis

29
Q

central US

A

histoplasmosis

30
Q

southwest US

A

coccidiomycosis

31
Q

north/central US

A

blastomycosis

32
Q

cold agglutinins

A

mycoplasma

33
Q

IgM antigens against I antigen of RBCs

A

cold agglutinins

34
Q

bulging tympanic membrane

A

mycoplasma pneumonia

35
Q

bradycardia and fever

A

leginoella

36
Q

splenectomy

A

weak vs. encapsulated

need pneumococcal vaccine

strep pneumo

37
Q

bubos, lymphadenopathy

A

yersinia pestis

38
Q

poultry farmer

A

psittacosis

39
Q

wool sorters disease

A

bacillus atnhracis

40
Q

spelunker

A

histoplasma capsulatum

hantavirus

41
Q

cat breeder

A

toxoplasmosis

42
Q

CD4 < 200

A

prophylaxis for pneumocystis jirovecii

43
Q

hat shaped organism

A

pneumocystic jirovecii

or cup and saucer

44
Q

gram positive lancet shaped diplococci

A

streptococcus pneumonia

45
Q

encapsulated gram negative rod

A

h. flu

46
Q

gram negative diplococci

A

neisseria meningitidis

47
Q

A.C units

A

legionella

48
Q

currant jelly

A

klebsiella

49
Q

erosion to brain in diabetic with chronic sinusitis

A

mucor

50
Q

acid fast

A

mycobacterium

51
Q

silver stain

A

pneumocystic jirovecii pneumonia (PCP)