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Flashcards in Primer On Pulm Infections Deck (48):
1

Nasal stuffiness
Sneezing
Headache
Malaise
Myalgia
Fatigue
Pharyngitis
No Fever
Winter months

Common cold

2

Most common cause of common cold?

Rhinovirus

3

Nonspecific febrile illness
Malaise
Headache
Coryza
Sneezing
Nausea
Vomiting
3-4 days
Summer months

Summer grippe

4

Most common cause of summer grippe?

Coxsackievirus
Echovirus

5

Mucosal inflammation of nose and paranasal sinuses
Sneezing
Rhinorrhea
Congestion
Post nasal drip
Aural fullness
Facial pressure
Headache
Sore throat
Cough
Fever
Myalgias

Viral acute rhinosinusitis
Or bacterial can follow viral

6

Most common cause of viral acute rhinosinusitis?

Rhinovirus
Parainfluenza virus
RSV
Adenovirus

7

Most common cause of bacterial acute rhinosinusitis?

S. pneumoniae
Nontypeable H. influenzae

8

Rhinosinusitis that develops
bloody nasal discharge,
dusky or necrotic turbinates, and
changes in mental state
Black eschar of palate *HALLMARK*
Diplopia
Decreased ocular motion
Chemosis
Proptosis
Ptosis
Brain abscess

Rhinocerebral mucormycosis

9

Most common cause of rhinocerebral mucormycosis?

Rhizopus
Rhizomucor

10

Fever
Sore throat
Edema
Hyperemia of tonsils and pharyngeal wall
Conjunctivitis
Cough
Coryza
Hoarseness
Diarrhea
Anterior stomatitis

Viral pharyngitis

11

Most common cause of viral pharyngitis

Adenovirus
HSV
EBV
Coxsackievirus

12

Fever
Sore throat
Edema
Hyperemia of tonsils and pharyngeal wall
Odynophagia
Tender cervical lymph nodes

Bacterial pharyngitis

13

Starts as sore throat
May progress as septic thrombophlebitis of IJV with:
Pain
Dysphagia
Neck swelling/stiffness
Sepsis 3-10 days after sore throat
May spread to lungs

Lemierre's disease - postanginal septicemia

14

MCC of Lemierre's disease

Fusobacterium necrophorum

15

Pharyngeal pain
Pseudomembrane on tonsils- bleeding w/attempted removal
Bull neck appearance
Regional lymphadenopathy
Edema
Fever
fetid breath
Neurological abnormalities

Diphtheria
-corynebacterium diphtheriae

16

Usually begins as URI
followed by
Dysphonia
Hoarseness
Aphonia or reduced vocal pitch
Odynophagia
Odynophonia
Sore throat
Fatigue
Malaise
Erythema
Edema

Acute laryngitis

17

Causes of acute viral laryngitis
(No particular virus is most common)

Parainfluenza
Influenza
Adenovirus
RSV
HSV
Rhino
Coxsackievirus

18

MCC of bacterial acute laryngitis

S. pyogenes

19

Fever
Restlessness
Air hunger
Mild URI symptoms
Hoarseness
Barking cough
Inspiratory stridor

Viral croup or laryngotracheobronchitis

20

MCC of viral croup

Parainfluenza virus type I

21

Acute onset
Fever
Severe sore throat
Hoarseness
Pyrexia, generally unwell
Stridor
4 Ds: dysphagia, dysphonia, drooling, distress
Thumb sign on lateral cxr

Bacterial epiglottitis and
Supraglottis

22

MCC of bacterial epiglottitis

H. influenzae type B

23

Cough - nonproductive at first
Substernal pain
Fever
Crackles and rhonchi
Malaise
Headache
Coryza
Sore throat

Acute Bronchitis

24

MCC of acute bronchitis

Influenza
Parainfluenza
Adeno
RSV
HSV
Rhino
Coxsackievirus
Echo

25

Symptoms of URI
Plus paroxysmal cough and dyspnea
Tachypnea
Tachycardia
Fever
Exploratory wheezing
Inspiratory crackles
Cyanosis
Hyperinflation
Patchy infiltrates
air trapping
Focal atelectasis
Flattened diaphragm
Increased AP diameter

Bronchiolitis

26

MCC of bronchiolitis

RSV

27

Coryza
Sneezing
fever
Mild-occasional cough
Then progresses to severe cough
Inspiratory whoop
Vomiting

Pertussis
Bordetella pertussis

28

High fever
Shaking chills
Dyspnea
Tachycardia
Productive cough-purulent sputum
Lung consolidations
Dullness to percussion
Wheezes or crackles
Toxic facies

Pneumonia

29

MCC of typical pneumonia

S. pneumoniae

30

MCC of pneumonia with bulging fissure sign

Klebsiella pneumoniae

31

MCC of pneumonia in cystic fibrosis patients

Pseudomonas aeruginosa
S. aureus
H. influenzae

32

MCC of pneumonia in alcoholic patients

Klebsiella pneumoniae

33

MCC of pneumonia in nursing home resident

Enterobacter
Klebsiella pneumoniae
E. coli

34

MCC of pneumonia in COPD patient

H. influenzae
K. pneumoniae

35

MCC of pneumonia in IV drug users

S. aureus

36

MCC of pneumonia in military camps, dorms, and young people

N. meningitidis

37

MCC of pneumonia in elderly patient or with recent flu

S. aureus

38

1 week to develop fever
Chills
Cough
Mucoid sputum or no sputum
Well appearing facies
Lung infiltrates
Rarely consolidations

Atypical pneumonia (interstitial)

39

MCC of atypical pneumonia

Mycoplasma pneumoniae
Pneumocystis jiroveci

40

MCC of afebrile pneumonia

Chlamydia trachomatis

41

Pneumonia but with recurrent chills rather than a shaking chill
Foul swelling sputum sometimes
Fever
Leukocytosis

Aspiration pneumonia

42

Develops over several weeks to a month
Night sweats
fever
Productive cough
Purulent sputum
Dyspnea
Coin lesions (Ghon focus)

Tuberculosis
Mycobacterium tuberculosis

43

Fungal pneumonia
Erythema nodosum
Hilar adenopathy
Yeast cells in PMNs of monocytes
Hyphae and tuberculate macroconidia

Chronic pneumonia -
Histoplasma capsulatum

44

Fungal pneumonia
Erythema nodosum
Hilar adenopathy
Spherule

Chronic pneumonia -
Coccidioides immitis

45

Fungal pneumonia
Rough verrucous skin lesions
Broad based budding yeast

Chronic pneumonia-
Blastomyces dermatitidis

46

Pneumonia with
bradycardia
Epistaxis
Horder spots
Splenomegaly
Birds

Psittacosis-
Chlamydophila psittaci

47

Pneumonia with
Bradycardia
Tender hepatomegaly
Endocarditis
Abnormal LFT
Farmers - birthing livestock

Q fever. -
Coxiella burnetii

48

Pneumonia with
Bradycardia
Abd pain
Vomiting
Diarrhea
Hematuria
Mental confusion
Abnormal LFT and renal tests
Increase in serum creatinine phosphokinase

Legionnaire's disease-
Legionella pneumophila