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AB 4th Year Gen Med > Respiratory - Infectious Diseases > Flashcards

Respiratory - Infectious Diseases Flashcards

1
Q

features of pneumonia?

A 
fever
cough
pleurisy
haemoptysis
SOB
malaise
confusion
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2
Q

rusty productive cough cause?

A

pneumococcal

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3
Q

red productive cough cause?

A

klebsiella

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4
Q

green productive cough cause?

A

pseudomonas

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5
Q

smelly productive cough cause?

A

haemophilus

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6
Q

common organisms causing pneumonia?

A

strep pneumoniae

haemophilus

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7
Q

who does pseudomonas usually infect?

A

underlying lung disease

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8
Q

who does klebsiella usually infect?

A

aspiration

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9
Q

who does legionella usually infect?

A

colonises stagnant water tanks

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10
Q

where does coxiella and chlamydia come from?

A

sheep

birds

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11
Q

who does pneumocystis usually infect?

A

immunocompromised/suppressed

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12
Q

investigations for pneumonia?

A

CXR
blood culture
ABG
FBC, U+Es, LFTs

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13
Q

what does CURB65 stand for?

A 
Confusion
Urea >7
RR >30
BP systolic <90, diastolic <60
>65 yrs
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14
Q

treatment for CAP?

A

0-1 amox for 5 days

>2 co amox + doxy for 7 days

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15
Q

treatment for HAP?

A

amox 5 days

severe: amox + gent 7 days

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16
Q

treatment for aspiration pneumonia?

A

amox + gent (+ met if severe)

17
Q

what pneumonia vaccine exists? who gets it?

A

pneumococcal
babies and >65yrs
long term health condition sufferers

18
Q

how does TB spread?

A

inhaled droplets from an infected person

19
Q

what does latent TB mean?

A

patient is infected
not usually contagious
may have no symptoms

20
Q

investigations for TB?

A

sputum culture (ziehl neelsen staining for acid fast bacilli)
CXR
tuberculin skin test

21
Q

treatment of active TB?

A

2 RIPE

4 RI

22
Q

treatment of latent TB?

A

3 RI OR 6 months I

23
Q

what is an empyema?

A

collection of pus in the pleural space

24
Q

what TB does the BCG protect?

A

meningitis and disseminated (not pulmonary)

25
Q

side effects of rifampicin?

A 
orange urine
monitor LFTs (P450 inducer)
26
Q

side effects of isoniazid?

A

peripheral neuropathy

27
Q

side effects of pyrazinamide?

A

hepatitis
arthralgia
GOUT (hyperuricaemia)

28
Q

side effects of ethambutol?

A 
optic neuritis (colour vision loss)
monitor U+Es
29
Q

features of TB?

A 
cough 
malaise
weight loss
night sweats
haemoptysis
30
Q

where else can TB affect?

A 
GU
bone (pott's vertebra)
peritoneal
meningitis
skin (lupus vulgaris)
31
Q

CXR features of TB?

A

hilar lymphadenopathy
cavitation
opacities in the upper lobes

32
Q

Tx for mycoplasma?

A

clarithromycin

33
Q

Tx for legionella?

A

ciprofloxacin

34
Q

Tx for PCP?

A

co trim

AB 4th Year Gen Med (27 decks)

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