resp Flashcards
klebsiella
affects?
syx?
alcoholics and diabetics
high fever, red current sputum , chills
upper lobes
- klebsiella in the club
alcoholics get that bug
mycoplasma pneumoniae
syxx
sign
flu like syx then DRY cough
erythema multiforme
haemolytic anaemia
leigonella pneum
where
deranged
treatment
air conditioning
dry cough
low Na, deranged LFTs and lymphopenia
clarithromycin + rifampicin
SARCOIDOSIS
signs
DERM
bilateral hilar lymphaedopathy
20-40
erythema nodosum
joint pains, increased ACEnzyme
LUPUS PERNIO - red/blue tinge nose, ear, finger toes
PE DIAGNOSIS / AWAITING SCAN
?TREATMENT
Instead of using LMWH until the diagnosis is confirmed, NICE now advocate using a DOAC once a diagnosis is suspected, with this continued if the diagnosis is confirmed
Staphylococcus aureus pneumonia
blood-streaked (or rusty) sputum, pleuritic chest pain, cavitating lesion X-ray
often proceeded by influenza!!1
acute asthma treatment
IV steroid
neb salbutamol and ipratropium
- no response -> magesium sulphate
- then maybe theophylline
add to ALS if a PE is suspected ?
alteplase
influenxa then pneumonia?
staph aureus
pneumothroax
when to drain
rules after
over 2cm drain
1- advise to stop smoking
2 -can fly 2 weeks after drainage / 1 week post chest x ray
3- never scuba dive unless CT scan clear
most common CAP in COPD
haemophilus influenzae
latent tuberculosis tx
3 months of isoniazid (with pyridoxine) and rifampicin, or
6 months of isoniazid (with pyridoxine)
Tiotropium
Ipratropium
Salbutamol
Salmeterol
Montelukast
Tiotropium = LAMA
Ipratropium is a SAMA
Salbutamol (SABA)
Salmeterol is a LABA
Montelukast = (LTRA)
adults with suspected asthma
should have both a FeNO test and spirometry with reversibility
