Pulmonary Disease and Facts Flashcards
Common cause of pneumonia in immunocompromised pt
S. aureus, enteric gram-negative rods, fungi, viruses, P. jirovecii (with HIV)
Most common cause of atypical or walking pneumonia
Mycoplasm pneumonaie
Common causitive agent for pneumonia in alcoholics
S. pneumoniae, Klebsiella, S. aureus
Can cause interstitial pneumonia in bird handlers
Chlymydia Psittachi
OFte cause of pneumonia in pt w/ hx of exposure to bats and bat droppings
Histoplasma
Often cause of pneumonia in pt recently visited South California, New mexico or Texas
Coccidiodes
Pneumonia associated with currant jelly sputum
Klebsiella
Q fever
Coxiella Burnetti
Associated with pneumoniae acquired from air conditioners
Legionella pneumophilia
Most common cause of pneunomiae in children 1 year old or younger
RSV
Most common cause of pneumonia in neonate
Group B or E.coli
Most common cause of pneumonia in children and young adults (college and military)
Mycoplasm pneumonaie
Most common cause of viral pneumonaie
RSV
Causes wool-sorters disease
Bacillis anthracis
Common pneumonia in ventilator pts and CF pts
Pseudomonas aeruginosa and MRSA
Pontiac fever
Legionella
See bilateral and diffuse pattern or small, irregular (reticulonodular) opacities, especially in the lower lobes. Pt has gradual onset dysnpea that was bad when she was working out but now all the time.
What changes would you expect to see in regards to:
FEV1, FVC and the FEV/FVC ratio?
Pt has Pulmonary fibrosis (honeycomb lung)
FEV and FVC are decreased proportionally thus normal or increased FEV/FVC ratio (restrictive disease)
- The most important mediator of coronary vascular dilation in large arteries and pre-arteriolar vessels. Made from arginine and O2 by endothelial cells. Causes vascular smooth muscle relaxation via guanylate cyclase mediated cGMP
- byproduct of ATP that acts as vasodilatory element in small coronary arterioles.
- Nitric Oxide
- Adenosine
70 yo woman had hip replacement surgery and devos acute SOB. Chest CT are as below
What happened?
What’s the pathophysiology responsible?
Saddle embolism; from DVT
DVT is d/t Virchows triad: endothelial injury, venous stasis and hypercoaguable state
Risk factors: old age, major lower extremetiy sugery immobility.
What is the MOA of Cromylyn?
when do we use it?
Inhibits mast cell degranulaiton thus prevents release of chemical mediators
Used to prevent acute asthma attacks