pneumonia + others Flashcards
What is the definnition of community-aqcuired pneumonia?
-NOT hospitalized within 14 days
-onset <4 days from hospitilaztion
most common cause of pneumonia in peds?
s pneumonia
diagnosis of pneumonia
at least TWO of:
-fever/rigors
-new cough + sputum, or chronic cough wtih change in colour of sputum
-hemoptysis
-pleuritic chest pain
-dyspnea
-sweats
-weight loss
AND
auscultory findings consistent with pneumonia
AND
presence of new opacity on chest XRAY
what size of pleural effusions associated with pneumonia should be drained?
> 10 mm
What is the other (preferred) scale for pneumonia management?
Pneumonia severity index
patients with pneumonia who have comorbidites, are in LTC, or have hospital acquired pneumonia require..
2 antiiotics
(amox + doxy)
(amox + azithro)
(cefuroxime + azithro)
patients who have pneumonia and also test positive for influenza should receive…
anti-influenza med ie oseltamivir
antibiotics for suspected aspiration pneumonia?
amox-clav
clindamycin
in which patients would you perform a repeat CXR in 6 weeks after pneumonia?
-extensive/necrotizing pneumonia
-smoker
-alcoholism
-copd
->5% weight loss in last month
>40 years old
definition of sinusitis
inflammation of one or more paranasal sinus cavities
rhinosinusitis definition
inflmmation of nasal mucosa + lining of sinus
what is acute sinusitis?
<4 weeks
what is recurrent sinusitis?
> 4 episodes per year, lasting >10 days each, no symptoms inbetween
diagnosis of adult acute bacterial sinusitis?
≥2 of the following for over 7 days or with biphasic fever:
-facial Pain or Pressure
-nasal obstruction
-nasal purulence/postnasal discharge
-small disorder
indications for CT in a patient with rhinosinusitis?
-concern for complications ie. acute encaphalopthy, proptosis, severe H/A, facial swelling, cranial nerve palsies
-chronic sinusitis not responding to treatment
-severe presentation, diagnosis unclear
