RTIs Flashcards

1
Q

Abx For mild CAP (CURB 0-1)

A

Amoxicillin PO 5d; or if penicillin-allergic - erythromycin/clarithromycin 5d PO

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2
Q

Abx For moderate CAP (CURB 2)

A

Amoxicillin PO + Clarithromycin PO 7-10d , consider admission

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3
Q

Abx For severe CAP (CURB 3-5)

A

Co-amoxiclav IV + Clarithromycin IV; admit and consider ITU

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4
Q

Abx For HAP (1st line and severe)

A

1st line: vancomycin + ciprofloxacin
If severe: vancomycin + tazocin

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5
Q

Abx For Aspiration Pneumonia

A

Tazocin + metronidazole

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6
Q

Microscopic features of Strep Pneumoniae

A

+ve diplococci, alpha-haemolytic

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7
Q

Microscopic features of Haem influenzae

A

Gram -ve cocco-bacilli

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8
Q

Microscopic features of Moraxella catarrhalis

A

-ve diplococci

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9
Q

Microscopic features of Staph aureus

A

+ve cocci in grape-bunch clusters

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10
Q

Microscopic features of Klebsiella Pneumoniae

A

-ve rod, enterobacter

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11
Q

Rusty-coloured sputum, Lobar CXR

A

Strep pneumoniae

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12
Q

Pneumonia - alcoholics, upper lobe cavitating lesion, DM, elderly

A

Klebsiella pneumonia

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13
Q

Pneumonia in birdkeepers

A

Chlamydia psittaci (culture)

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14
Q

Pneumonia in young peple, dry cough, arthralgia, erythema multiforme (SJS)

A

Mycoplasma pneumoniae - Tetracycline or macrolide

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15
Q

Infected water, hypoNa, hepatitis, abdo pain, confusion

A

Legionella pneumophilia (urine antigen or culture)

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16
Q

Pneumonia in Cystic fibrosis

A

Pseudomonas aeruginosa (worse prognosis) -> Ceftazidine)
Burkholderia cepacia

17
Q

Halo sign on CT Chest, neutropenia

A

Aspergillus - chronic wheeze, bronchiectasis

18
Q

Pneumonia - post-viral infection, CXR cavitation

A

Staph aureus

19
Q

Pneumonia - desaturation walking around room, dry cough, bat wing appearance on CXR, HIV

A

Pneumocystitis jirocevi (PCP), Ix: bronchoalveolar lavage; Mx: co-trimoxazole

20
Q

Pneumonia in splenectomy pts

A

Haem influnzae and Strep. pneumoniae - encapsulated organisms