Flashcards in Pneumonia DSA and CIS I Deck (51)
Loading flashcards...
1
most common cause of infectious death in world
pneumonia
2
dx of pneumonia
fever, chills, leukocytosis
cough, sputum, dyspnea, chest pain, abnormal pulmonary exam
changes on CXR
3
population for pneumonia
65yo
4
typical pneumonia bugs
strep pneumonia
h flu
moraxella catarrhalis
5
atypical pneumonia bugs
legionella
mycoplasma
chlamydia pneumonia
viruses
6
fever, rigors, cough with sputum, lobar infiltrates on CXR
typical pneumonia
7
dry cough with diffuse patchy infiltrate on CXR
atypical pneumonia
8
elderly
only mental status changes
9
atypical coverage
macrolides
doxycycline
FQs
10
hospitalized CAP tx
resp FQ (moxi,levo)
OR
2,3 generation cephalosporin and macrolide
11
shock
need to be treated within an hour of developing hypotension
antibiotic treatment
12
health care associated pneumonia
MRSA and pseudomonas
13
criteria for health care associated pneumonia
hospitalized > 2 days previous 90 days
nursing home
home infusion therapy
hemodialysis
home wound care
fam member with MDR pathogen
immunosuppression
14
pneumonia specific criteria for health care associated pneumonia
hospitalization > 2 days
antibiotics previous 90 days
non-ambulatory
tube feeding
immunocompromised
gastric acid suppressive agent
15
MRSA
cavitary infiltrate
pleural effusion
gross hemoptysis
concurrent influenza
neutropenia
erythematous rash
skin pustules
pneumonia during summer
16
legionella antigen
urinary
17
good sputum gram stain
less than 10 squamous and more than 25 leukocytes
18
thoracentesis
should be performed if greater 10mm pleural fluid
19
CURB-65
confusion
uremia - BUN > 20
respirations >30
BP < 90/60
age 65
score >3 - hosp is appropriate
20
ICU admission
3 or more
-confusion, BUN, tachypnea, multiplbar infiltrates, hypoxemia, thrombocytopenia, hypotension, hypothermia, leukopenia, lactic acidosis, low pH, low albumin, tachycardia, elderly
21
smokers
strep pneumo
h flu
moraxella
legionella
22
COPD
strep pneumo
h flu
moraxella
legionella
23
alcoholism
drug resistant strep pneumo, anaerobe, TB
24
bird exposure
psittacosis
25
bird dropping
histoplasmosis
26
rabbits
tularemia
27
farm animal
Q fever
28
bio-terrorism
b. anthtacis
f. tularensis
y. pestis
29
central US
histoplasmosis
30
