PULMONARY Flashcards
1
Q
id: 1446
loss level of consciousnesses from drug/alcohol –> aspiration of oropharyngeal flora.
periodontal disease = increase anaerobic bacteria in gingiva
1. lead microbes are?
clinical dx
- foul smelling sputum
- night sweat
- weight loss
- nail clubbing
- treatment for the lung abscesses will be?
A
- bacterioides, prevotella, fusobacterium, peptostreptococcus - but most lung abscesses are polymicrobial
- clindamycin – cover both anaerobe and aerobe gram +
- such as S. penumoniae
MOA: bind to 50S
2
Q
I’d: Productive cough
SOBOE
Heavy smoker
Oxygen sat 90% at ready and 84% on exertion
- What is this an indication of
2 what will the renal cortex and medulla do?
A
Pt has COPD
3
Q
id: 399
non-smoker, non-drinker with SOB, wheezing.
+ liver damage
biopsy: periodic acid-schiff staining showed pink globules
A
Alpha-1 antitrypsin is made in liver to inhibit NT elastase – which reduce tissue damage caused by inflammation
AAT deficiency = reddish-pink globules on PAS stain.
globules = unsecreted, polymerized AAT in periportal hepatocyte
