pulm Flashcards
First line tx for peds CAP?
Amoxcillin
Post-flu pneumonia which bacteria?
Staph aureus
COPD pneuminia which bacteria?
H Flu
Alcoholic pneumonia which bacteria?
Klebsiella
GI sx or neuro sx which pneumonia bacteria?
Legionella
Bullous myringitis and pneumonia which bacteria?
Mycoplasma
Xray view for small pleural effusion?
Lateral decub side down
Croup virus?
Parainfluenza
Transudative effusion has little to know ______
Protein
Transudative effusion numbers high or low?
Low
Exudative effusion numbers high or low?
High!
Bronchiectasis most common secondary to what condition?
Cystic Fibrosis
Bronchiectasis sputum smell?
Foul smelling sputum
Bronchiectasis chest xray looks like?
Dilated, thickened bronchi described as “tram-track” appearance
Subglottic narrowing in Croup aka
Steeple Sign
What condition to consider when patient has unexplained pleural effusion?
pulmonary embolism
Classic radiographic appearence of pleural effusion?
Blunting of costophrenic angle
MC cause of pleural effusion in US?
Heart failure
Pleural effsion does what to breath sounds, percussion, and fremitus?
Decreased breath sounds
Decreased tactile fremitus
Dull percussion
PCP pneumonia looks like what on CXR?
Bat-wing appearance
Who gets Psittacosis the most often?
bird owners, veterinarians, and pet-shop employees
Psittacosis harbored by what animal?
Birds
Psittacosis pneumonia tx?
Doxy x14-21d
Which HIV-positive PCP pneumonia patients get corticosteroids before Bactrim?
arterial oxygen partial pressure (PaO2) < 70 mm Hg
or alveolar-arterial oxygengradient > 35 mm Hg
Inhaling sandblasting, rock mining, and stone cutting dust causes
Silicoliosis
Carcinoid tumors do what to skin?
Flushed skin
2 bacteria which MC cause bullous myringitis
Strep Pneumonia
H Flu
Which CAP bacteria causes hospitalization most often?
Strep pneumoniae
Which physical exam test can differentiate the cause of crackles and rales?
Egophony. E to A in pneumonia but no other conditions which cause crackles and rales.