Cases- Pneumonia (3)-Leah Flashcards Preview

DT3- EXAM 2 > Cases- Pneumonia (3)-Leah > Flashcards

Flashcards in Cases- Pneumonia (3)-Leah Deck (33):
1

Virus that causes severe pneumonia and 30k annual US deaths?

Influenza

2

"Hyporesonance at the base of the lung" is characteristic of?
What action should you take if this is heard in the presence of pneumonia?

Pleural effusion
--drain any effusion of 1cm or greater via thoracentesis

3

Walking pneumonia:
Classic bug? (2)
Treatment needed? (2)

Mycoplasma; chlamydia
Organisms lack a CELL WALL = NO penicillins
Can use macrolides, doxycycline

4

Respiratory infection most likely to lead to serious complications?

Pneumonia

5

Flu assc bacterial pneumonias (2)

Strep aureus; Strep pneumo also.

6

Before running cultures and CXR on a patient with suspected pneumonia you should always?

Stabilize the patient!
(This is kind of a no brainer but just in case..... If the patient has super low BP/O2 sat- fix those problems before trying to diagnose an underlying condition!!)

7

Pneumonia assc with
-alcoholism, abscesses, aspiration

KlebsiellAAAA
(Anaerobe)
(As are for alcoholics, aspiration, abscesses, anaerobes)

Gram - rod; urease +; lactose fermenting, grows on MacKonKEES agar.
(KEES = klebsiella, E. coli, enterococcus, serratia)

8

Standard treatment for community acquired pneumonia/strep pneumo (2)

Ceftriaxone
Azithromycin (macrolide)

9

Biggest risk factor for resistant bacterial pneumonia

Hospital stay >48 hours

10

Wheezing + prolonged expiration are characteristic of?

Obstructive disease!!!

11

Cold + runny nose + sore throat are most suggestive of what type of illness?

Viral

12

To what do obstructive diseases respond? (2)

Steroids and bronchodilators

13

No wheezing in pneumonia indicates?

Significant, severe disease

14

Most common pneumonia in immunosupressed patients?

COMMON THINGS ARE STILL COMMON!!!
Strep pneumo, etc.

15

"Rust colored sputum" is a buzzword for?

Strep pneumo pneumonia

16

What should you ask foreigners/ travelers about?

Vaccination

17

People in "close quarters" should get the vaccine for:

Meningococcus

18

"Crackles at the base of the lung" is a classic presentation for?

Chronic CHF

19

"Constantly coughing until you vomit" should be a red flag for?

Pertussis

20

What is a high WBC count? What is a SERIOUSLY high WBC count?

Anything 10+ is high; 20+ is indicative of severe illness

21

What two things do neutrophils in sputum suggest?

-good sample
-bacterial infection

22

In the absence of wheezing, you can usually rule out?

Asthma exacerbation

23

Scattered patchy infiltrates on CXR and red bullpen on the tympanic membrane is suggestive of?

Atypical pneumonia; mycoplasma

24

Antibiotic treatment of hospital acquired pneumonia should cover what bugs?

Common things +
Gram negatives like space bugs
Staph aureus
Legionella

25

Legionella:
Bacterial class:
Characteristics of legionella pneumonia: (3)

Atypical
Super high fever; hyponatremia; possible liver dysfxn

**RX QUESTION**

26

Test that should be run on every patient admitted to the hospital with pneumonia

Blood culture

27

Low WBC at baseline are common in what population?

Black males

28

Pregnant patients are inherently ________.

Immunocompromised

29

Fungal infection seen in Arizona/ four corners?

Coccidiodes (sp?)
**Rx question**
In the question; they used amp B to treat which led to a DRUG INDUCED FEVER.

Note that it grows on sabourauds agar; has "spherule" shape.

30

Low temp is always?

OMINOUS

31

Two common AIDS assc infections

There are so many but meadows likes to mention:
Pneumocystis; TB

32

"Military recruit" is a buzzword for?

Adenovirus

33

Dry cough and patchy infiltrates seen on CXR is typical of?

Viral pneumonia