LRTI Flashcards

1
Q

What is the definition of acute bronchitis?

A

Inflammation of the bronchi

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2
Q

What is exacerbation of COPD?

A

Sudden worsening of COPD symptoms

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3
Q

What is pneumonia?

A

An LRTI with bacteria, involves filling of the alveoli with bacterial cells and fluid

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4
Q

What is bronchiectasis?

A

Abnormal widening of the bronchi

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5
Q

What is a lung abscess?

A

Localised collection of infection, not that common in respiratory medicine

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6
Q

What is the UK incidence of pneumonia?

A

5-11 per 1000

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7
Q

What are the main symptoms of pneumonia?

A
Malaise
Fever
Chest pain
Cough
Purulent sputum
Dyspnoea
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8
Q

What is the problem with pneumonia symptoms?

A

They are very non-specific

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9
Q

What is rusty sputum produced from?

A

Pneumococcal pneumonia

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10
Q

What is rusty sputum?

A

Sputum tinged with blood

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11
Q

What is tachpnoea?

A

A fast respiratory rate

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12
Q

Which test offers the best microbiological diagnosis?

A

Blood culture

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13
Q

What is the name of teh pneumonia severity scoring chart?

A

CURB 65

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14
Q

What is an empyema?

A

Infection of the pleural space

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15
Q

What type of patients will generally have advanced bronchiectasis?

A

Patients with cystic fibrosis

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16
Q

What are the 2 main symptoms of bronchiectasis?

A

Chronic cough

Daily sputum production

17
Q

What are the 3 main bacteria that cause bronchiectasis?

A

H. influenzae
Staph aureus
Pseudomonas Aeruginosa

18
Q

What is tracheitis?

A

Prolonged croup with a fever

19
Q

What is the definition of biphasic stridor?

A

Sounds on inhalation and exhalation

20
Q

Is bronchitis self-limiting?

A

Mostly, yes

21
Q

What is the mechanism of bacterial bronchitis?

A

Disturbed mucociliary clearance

22
Q

What type of infection is bacterial bronchitis?

23
Q

Which virus is bronchiolotis usually caused by?

24
Q

How can you tell if it is NOT bronchiolitis?

A

If they have had bronchiolitis before, as bronchiolitis is a one off infection - NOT RECURRENT

25
What are the 3 main things required in the management of bronchiolitis?
Oxygenation Hydration Nutritition
26
What does a wheeze make unlikely in LRTIs?
Bacterial cause
27
What should CXRs only be used for in diagnosing LRTIs?
Only to confirm clinical findings
28
What does vaccination reduce in pertussis?
Risk and severity
29
How can empyema be a complication of pneumonia?
There is an extension of infection into the pleural space