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Clinical Medicine > URIs/LRIs > Flashcards

URIs/LRIs Flashcards

1
Q

MCC community pneumonia in adults

A

streptococcus pneumoniae

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2
Q

s. pneumoniae pneumonia traits

A

encapsulated bacteria G+

rusty sputum

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3
Q

who gets PVC13

A

+65
+19 w/ conditions or immunocommp
not if allergic

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4
Q

who gets PPSV23

A

+65
+19 w/ conditions, smoke or immunocommp
not if allergic

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5
Q

klebsiella pneumoniae pneumonia traits

A

red currant jelly sputum
3 As: apiration pneumonia, abscess in lungs, alcoholics
+DM

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6
Q

legionella pneumophila traits

A

legionnaires
silver stain
aerosol form water

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7
Q

mycoplasma pneumoniae traits

A

atypical walking pneumonia

penicillin resistant

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8
Q

MCCs CAP

A

s. pneumoniae
m. pneumoniae
H. influenzae
C. pneumoniae

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9
Q

MCCs inpatient (ICU) pneumonia

A 
S. pneumoniae
S. aureus
Legionella
gram - bacilli
H. influenzae
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10
Q

CAP Sx

A

cough
dyspnea
sputum
pleuritis chest pain

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11
Q

PE for pneumonia w/ consolidation

A

egophony
dull percussion
up fremitus

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12
Q

PE for pneumonia w/ pleural effusion

A

down breath sounds
dull percussion
down fremitus

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13
Q

CAP Tx

A

macrolide for healthy

fluoroquinolone or beta-lactam+macrolide for co-mor

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14
Q

clinical stability criteria*****

A 
temp  60 (O2sat >90)
normal mental status
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15
Q

CAP plan

A

treat for min 5 days (norm 7)
afebrile 48-72 hrs
only 1 bad stability criteria
then can stop

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16
Q

RF for MDR bugs*****

A 
antimicrobe past 90 d
currently hosp 5+ d
hosp 2+ d in past 90
nursing home/extended care
home infusion therapy
chronic dialysis past 30 d
home wound care
immunosupp
family w/ MDR bug
17
Q

if high risk for MDR (Tx)

A

cephalosporin
or carbepenem
or B-lactam + fluoroquinolone
or aminoglycoside + vanco/linezolid

18
Q

acute bronchitis

A

cough

no fever, tachycardia, tachypnea

19
Q

chronic bronchitis

A

persistent cough most days during 3 mo of 2 consecutive yrs

20
Q

viral causes of bronchitits

A 
flu A/B
parainfluenza
resp syncitial virus
coronavirus
adenovirus
rhinovirus
21
Q

bacterial causes of bronchitis

A

bordetella pertussis
mycoplasma pneumoniae
chlamydia pneumoniae

Clinical Medicine (9 decks)

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