Respiratory Tract Infections Flashcards

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1
Q

Inflammation of Lung alveoili
Pts are sick
Can be lobar/broncho

A

Pneumonia

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2
Q

Inflammation of medium sized airway
Mainly in smokers
Cough with sputum for most days for 3 months for 2 or more consecutive years

A

Bronchitis

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3
Q

Fever, cough, pleuritic chest pain, SOB

A

Pneumonia

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4
Q

Cough, fever, increased sputum production, increased SOB

CXR: Normal

A

Bronchitis

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5
Q

Localising signs, abnormal CXR

A

Pneumonia

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6
Q

Normal CXR

A

Bronchitis

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7
Q

Score for CAP

A
CURB 65
Used to guide treatment
New onset confusion
Urea >7 mmol/L
Resp rate >30
BP
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8
Q

Treatment for Pneumonia

A

Supportive

Abx

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9
Q

Treatment for Bronchitis

A

Bronchodilation
Physiotherapy
Abx

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10
Q

Rusty coloured sputum. Lobar on CXR usually, Vacciante at risk groups

A

S Pneumonia

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11
Q

Gram +ve Diplococci

A

S Pneumonia

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12
Q

Assoc with smoking and COPD

A

H Influenza

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13
Q

Gram -ve cocco-bacilli

A

H Influenza

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14
Q

Assoc with smoking

A

M catarrhalis

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15
Q

Gram -ve Coccus

A

M catarrhalis

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16
Q

Associated with recent viral infection
(EMQ post Influenza infection)
Cavitation on CXR

A

S aureus

17
Q

Gram +ve cocci in grape bunch clusters

A

S aureus

18
Q

Alcoholism, elderly, haemoptysis

A

K pneumonia

19
Q

Gram -ve rod, enterobacter

A

Klebsiella

20
Q

Diagnosis of CAP

A

Urine antigen test in severe CAP for S pneumoniae, Legionella
Antibody tests - paired serum samples (presentation + 10-14 days) Rise in Ab over time. Useful for difficult to culture (chlamydia, legionella)
Immunofluorescence - Ab labeled with due in virology
PCP also by silver stain - boat shaped

21
Q

Diagnosis of HAP

A

BAL to differentiate URT + LRT microbes
URTI: sinusitis, tonsillitis
LRTI - Bronchitis, Pneumonia, Empyema, Bronchiectasis, Lung Abscess