Pneumonia DSA and CIS I Flashcards Preview

RESP II Exam 2 > Pneumonia DSA and CIS I > Flashcards

Flashcards in Pneumonia DSA and CIS I Deck (51):
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

southwest US

coccidiomycosis

31

north/central US

blastomycosis

32

cold agglutinins

mycoplasma

33

IgM antigens against I antigen of RBCs

cold agglutinins

34

bulging tympanic membrane

mycoplasma pneumonia

35

bradycardia and fever

leginoella

36

splenectomy

weak vs. encapsulated

need pneumococcal vaccine

strep pneumo

37

bubos, lymphadenopathy

yersinia pestis

38

poultry farmer

psittacosis

39

wool sorters disease

bacillus atnhracis

40

spelunker

histoplasma capsulatum
hantavirus

41

cat breeder

toxoplasmosis

42

CD4 < 200

prophylaxis for pneumocystis jirovecii

43

hat shaped organism

pneumocystic jirovecii

or cup and saucer

44

gram positive lancet shaped diplococci

streptococcus pneumonia

45

encapsulated gram negative rod

h. flu

46

gram negative diplococci

neisseria meningitidis

47

A.C units

legionella

48

currant jelly

klebsiella

49

erosion to brain in diabetic with chronic sinusitis

mucor

50

acid fast

mycobacterium

51

silver stain

pneumocystic jirovecii pneumonia (PCP)