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Flashcards in random9 Deck (17):
1

how do you determine whether pt w/ community acquired PNA can be outpt, inpt, or ICU treated?

"CURB-65"
Confusion
Uremia (BUN >20)
Respirations >30
BP 65yo

2

Oupt med treatments for healthy pt w/ community acquired PNA?

Macrolide (ie azithromycin, clarithromycin,etc) or doxy

3

Inpt med treatments for community acquired PNA?

Fluoroquinolone
OR
Beta-lactam + macrolide (ie azithromycin, etc)

4

Outpt med treatments for community acquired PNA pt w/ comorbid conditions (ie DM, malignancy, etc)?

Fluoroquinolone
OR
Beta-lactam + Macrolide

5

ICU med treatment for pt w/ community acquired PNA?

IV beta-lactam + macrolide
OR
Betalactam+ fluoroquinolone

6

dry cough and malaise 2mo w/ bilateral hilar adenopathy - think?

sarcoidosis

7

sarcoidosis due to?

noncaseating granulomatous inflammation

8

acute unilateral lymphadenitis in children - think what braod category causes?

bacterial infx

9

top 2 most common causes of acute unilateral lymphadenitis in kids?

- Staph a.
- Strep pyogenes (group A)

10

Anterior cerebral artery stroke clinical findings

- contralateral motor and/or sensory deficits more pronounced in lower extremities
- Urinary incontinence
- gait dyspraxia
- abulia (lack of will or initiative) and/or emotional disturbances
- primitive reflexes (babinski, grasp, suck, etc)

11

pt w/ R sided weakness worse in lower extremity, urinary incontinence, and pos babinski w/ full visual fields -- what vessel stroke?

ant. cerebral artery

12

unilateral motor impairment w/ no visual field, sensory, or cortical (ie urinary incontinance) deficits - where is stroke?

lacunar infact at post. limb of internal capsule

13

contralateral motor and sensory deficits more pronounced in face or upper limb w/ homonymous hemianopia and aphasia - what vessel stroke?

middle cerebral artery stroke on Dominant lobe (bc aphasia)

*non dominant would have hemineglect or anosognosia

14

middle cerebral artery occlusion findings?

- contralateral somatosensory and motor deficit more pronounced in face and upper extremity
- conjugate eye deviation toward side of infarct
- homonymous hemianopia
- aphasia (dominant lobe) or hemineglect (non-dominant)

15

internal carotid artery supplies where in the brain?

anterior vasculature (inc ant and middle cerebral arteries)

16

occlusion of internal carotid artery findings?

contralateral impairments
- hemiplegia
- sensory
- visual
- language
- spacial

17

posterior cerebral artery stroke characterized by?

- homonymous hemianopia
- alexia w/o agraphia (dominent lobe; can't read but can write)
- visual hallucinations
- sensory symp
- 3rd nerve palsy w/ paresis of vert and horizontal eye movements
- contralateral motor deficits