Pulmonary Flashcards
A child presents with high fever, drooling, and muffled speech. This is.. (and how do you diagnose)
epiglottitis - look for thumbprnting on x ray
What is the most common cause of croup and how does it appear on x ray? How do you treat?
parainfluenza - look for inspiratory stridor and steeple sign; treat with steroids
What is the most common cause of respiratory disease in under 2? how do you treat?
bronchiolitis caused by RSV - treat supportive
What is a common cause of afebrile pneumonia between 1-3 months of age? How do you diagnose?
chlamydia trachomatis - eosinophilia and infiltrates
What organisms frequently colonize the lungs of patients with CF?
staph
What are common complications of chronic lung disease?
obstructive lung disease
A patient presents with daytime wheezing every day and nighttime symptoms twice a week. What do you give/
moderate persistent - can give SA BA + medium dose corticosteroids or LABA + low dose
A premature infant is born and X ray shows ground glass appearence and lingering fluid. This is..
surfactant deficiency
What are the criteria for diagnosis of ABPA?
reactivity to Aspergillus, chest radiograph infiltrate, eosinophilia
A patient presents with respiratory distress, wide set eyes, small jaw and no urination. This is.
potter’s syndrome from oligohydraminos (too little amniotic fluid)
What is typical and atypical pna coverage?
amoxacillin clavunulate for pneumonia
atypical - azithromycin
A young chld who hs a college aged baby sitting presents with severe cough so intense that she passes out. Tx?
erythromycin for pertussis
What are the risk factors for respiratory distress syndrome?
prematrity, male sex, maternal diabetes
A ptient presents with tenacious rhinorrhea, bilateral nasal polyps, digital clubbing and course breath sounds.
CF
