RESP Flashcards
key feature of klebsiella pneumonia and where is the CXR pathology
1) Red-currant jelly sputum
2) upper lobe cavitation
differentiating factors for mycoplasma pneumonia(2)
1) haemolytic anaemia
2) Erythema multiforme
which lung conditions do not cause clubbing(3)
1) Asthma
2) COPD
3) Pneumonia
pyrazinamide side effects
1) arthralgia
2) rashes
3) Hyperuricaemia(gout)
what is infliximab
TNF-alpha blocker- counteracts production of TNF -a in the synovium which leads to RA.
Infliximab Contraindications
1) Congestive cardiac failure
2) Demyelinating diseases
3) hx of previous cancer
4) active infection
endocrine side effect of long term steroid use
1) hyperglycaemia(hormones decrease the effectiveness of insulin in liver and make your liver dump more glucose into bloodstream)
legionella pneumonia key features(4)
1) recent holiday
2) deranged LFTs
3) hyponatremia
4) lymphopenia
demeclocycline(tetracycline with an interesting use)
1) used in SIADH, as it inhibits adh and causes nephrogenic diabetes insipidus. Used to treat SIADH which occurs in small cell cancer
Examples of neuraminidase inhibitors
1) oseltamivir
2) Zanamivir
symptoms of avian influenza(influenza A)
fever, dry cough, headache and diarrhoea.
lupus pernio- what is it and which condition?
1) purple red blue lesion over fingers/nose/ears
2) Sarcoidosis
drugs which can worsen psoriasis(red,flaky scaly)
1) beta-blockers
2) Lithium
what is not a complication of pneumonia
Haemothorax
treatment of acute pulmonary fibrosis
prednisolone- 0.5 mg /kg/day
pseudomonas aeruginosa risk factors
1) Immunocompromised(HIV)
2) Moist surfaces( CVC), catheter
allergic bronchopulmonary aspergillosis risk factors
1) CF
2) Asthma
Histoplasmosis risk factors
1) bats
2) immunocompromised
3) young age
Aspergilloma - who usually gets it
1) immunocompromised/ cavitating lung disease(emphysema/TB)
Cryptococcal infection symptoms
1) confusion ataxia(meningoenchephalitis)
2) cough (pneumonia)
Cryptococcal infection treatment regime
3 phases
1) Amphotericin B
2) fluctosine
3) fluconazole
Squamous cell carcinoma neoplastic syndrome
- hypercalcaemia(PTH)
Small cell carcinoma neoplastic
- ACTH- cushings
- Hyponatraemia- SIADH
what is saccharopolyspora rectivirgula realated to
farmers lung(mouldy hay)
aspergillusclavatus - relation to what job and condition
malt workers lung
coal workers pneumoconiosis key features(2)
1) black sputum
2) numerous small pulmonary nodules on CXR
pottery factor related to ?
silicosis
pneumoconiosis(mining related) + R arthritis
caplan’s syndrome
thermophilicactinomycetes - what EAA(extrinsic allergic alveolitis)
Mushroom workers lung
what is not an extrinsic allergic alveolitis
asbestos exposure(lung fibrosis and chronic inflammation)
