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Flashcards in random9 Deck (17)
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1
Q

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

A
"CURB-65"
Confusion
Uremia (BUN >20)
Respirations >30
BP 65yo
2
Q

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

A

Macrolide (ie azithromycin, clarithromycin,etc) or doxy

3
Q

Inpt med treatments for community acquired PNA?

A

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

4
Q

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

A

Fluoroquinolone
OR
Beta-lactam + Macrolide

5
Q

ICU med treatment for pt w/ community acquired PNA?

A

IV beta-lactam + macrolide
OR
Betalactam+ fluoroquinolone

6
Q

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

A

sarcoidosis

7
Q

sarcoidosis due to?

A

noncaseating granulomatous inflammation

8
Q

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

A

bacterial infx

9
Q

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

A
  • Staph a.

- Strep pyogenes (group A)

10
Q

Anterior cerebral artery stroke clinical findings

A
  • 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
Q

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

A

ant. cerebral artery

12
Q

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

A

lacunar infact at post. limb of internal capsule

13
Q

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

A

middle cerebral artery stroke on Dominant lobe (bc aphasia)

*non dominant would have hemineglect or anosognosia

14
Q

middle cerebral artery occlusion findings?

A
  • 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
Q

internal carotid artery supplies where in the brain?

A

anterior vasculature (inc ant and middle cerebral arteries)

16
Q

occlusion of internal carotid artery findings?

A

contralateral impairments

  • hemiplegia
  • sensory
  • visual
  • language
  • spacial
17
Q

posterior cerebral artery stroke characterized by?

A
  • 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