Respiratory Flashcards
Fev1/Fvc <75%
Obstructive
Asthma, COPD, bronchiectasis, bronchiolitis obliterans
Fev 1 /Fvc normal/raised
restrictive
PF, asbestosis, sarcoidosis
ARDS, kyphoscoliosis, neuromuscular disorders
HAP -most common bacteria type
Gram negative anaerobes
Most common organism CAP
Strep pneumonia
HI
Mycoplasma
Aspiration microbes
Anaerobes
Pneumococcal
Most common
Fever, pleurisy, herpes labialis
Lobar consolidation
rust coloured sputum
Staphylococcal
Complicates flu
Young, old, IVDU
Bilateral cavitating pneumonia
Klebsiella
Rare Old, DM Upper lobe cavitating Drug resistance often red current jelly sputum
Pseudonomas - who gets it?
Bronchiectasis
CF
Mycoplasma
Epidemics 4 yrs Flu symptoms > dry cough cold agglutinins CXR reticular nodular shadowing patches >autoimmune hemolytic anaemia >erythema multiform, Stephen Johnsons, GBS
Legionella
Flu like > dry cough D&V, renal failure CXR Bilateral consolidation Lymphopenia Hyponatraemia Deranged LFTs
RSV
Bronchiolitis
Parainfluenza virus
Croup
Rhinovirus
Common cold
Haemophilus Influenzae
CAP
Most common for bronchiectasis exacerbations
Acute epiglottitis
Pneumocystis Jiroveci
HIV
Few chest signs
Exertional dyspnoea