The patient with breathlessness Flashcards
1
Q
What are the three most common organsims that cause community acquired pneumonia?
A
Strep. pnuemonia
Haemophilus influenza
Moraxella catarrhalis
2
Q
What scoring tool can be used to guide management of C.A.P.?
A
CURB65 C - Confusion (AMTS < 8) U - Urea >7mmol/l) R - RR > 30 B - SBP < 90 or DBP < 60mmHg 65 - Age 65+
3
Q
Which type of pneumothorax do young, tall, thin males tend to suffer from?
A
Primary spontaneous pneumothorax
4
Q
What can cause a secondary spontaneous pneumothorax?
A
Rupture of a bulla or cyst in COPD patients
5
Q
How does the Wells’ scoring system guide management of suspected PE?
A
Score =< 4 = PE unlikely. Do d-dimer to exclude PE, if this comes back positive, do CTPA
Score > 4 = PE likely, do CTPA
6
Q
How is the sputum classically described in pulmonary oedema?
A
Pink, frothy sputum