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Flashcards in Lung Tissue Disease Deck (22)
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1
Q

Signs of Lung Tissue Disease

A

tachypnea (marked)
increased respiratory effort
grunting
crackles (rales) and decreased air movement
diminished breath sounds
tachycardia
hypoxemia (despite giving supplemental O2)

2
Q

Lung Tissue Diseases

A
pneumonia
pulmonary edema
trauma
infiltrative disease
toxins
3
Q

Triad of pneumonia

A

FEVER
COUGH
TACHYPNEA

4
Q

Most sensitive indicator of pneumonia

A

TACHYPNEA

5
Q

The most consistent clinical manifestation of pneumonia in children

A

TACHYPNEA

6
Q

Etiologies of Pneumonia

YOUNG INFANTS

A

0-28 days - GBS, E.coli, S. pneumoniae

3 wks - 3 mos - RSV, parainfluenza, Chlamydia, Mycoplasma, S. pneumoniae

7
Q

Etiologies of Pneumonia

OLDER INFANTS and CHILDREN

A

4 mos - 5 yrs - viruses, S. pneumoniae, Hib, Mycoplasma

5-15 yrs - Mycoplasma, S. pneumoniae

8
Q

Clinical signs and symptoms that accurately diagnose pneumonia in 3 mos - 18 y/o

A

cough, fever + any of the ff
GRONT

Grunting
Retractions
O2 sat <95%
Nasal flaring
Tachypnea
9
Q

Strongly recommended as an initial diagnostic aid for patients classified as severe

A

Chest X Ray

10
Q

Empiric Treatment for NON SEVERE PCAP regardless of immunization status against S. pneumoniae and Hib

A

Amoxicillin for 7 days

Amoxicillin-Clavulanate or Cefuroxime for 7 days

11
Q

Empiric Treatment for SEVERE PCAP regardless of S. pneumoniae immunization status

A
Pen G (200 000 units/kg/day) OR
Ampicillin 

Cefuroxime OR
Ceftriaxone OR
Ampicillin-Sulbactam in settings w/ documented high-level penicillin resistant pneumococcal

ADD Clindamycin when Staphylococcal pneumonia is suspected

Vancomycin - severe or life threatening conditions (MRSA)

12
Q

Empiric Treatment for patients with KNOWN HYPERSENSITIVITY to penicillin

Non-Type I

A

Cefuroxime
OR
Ceftriaxone

13
Q

Empiric Treatment for patients with KNOWN HYPERSENSITIVITY to penicillin

Type I

A

Azithromycin
OR
Clarithromycin

Clindamycin

14
Q

Empiric Treatment for patients when ATYPICAL pathogen is suspected

A

Azithromycin
OR
Clarithromycin

15
Q

Empiric Treatment for patients with proven VIRAL etiology

A

Oseltamivir

16
Q

Other treatment for PCAP

A

Vitamin A - recommended

Bronchodilators - for wheezing

17
Q

fever, cough and tachypnea

poorly nourished
unvaccinated
w/ onset of rashes all over the body

A

Measles

18
Q

fever, cough and tachypnea

patient has CF, CGD, burn patient, neutropenic

A

Pseudomonas

19
Q

fever, cough and tachypnea

teen/YA
dormitory
non productive cough

A

Mycoplasma

20
Q

fever, cough and tachypnea

has his own aviarium

A

Psittacosis

21
Q

fever, cough and tachypnea

hx of eye discharge during the 1st 5-14 days of neonatal period

A

Chlamydia

22
Q

3 y/o
intermittent episodes of continuous coughing until the child turns purple followed by deep loud inspiration
sneezing, rhinorrhea

A

Pertussis

Azithromycin