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Flashcards in Respiratory ID Deck (33)
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1

First step if sx of pneumonia?

CXR

2

Most common bug of pneumonia (all comers?) Treatment?

Strep pneumo. Treat: M, FQ, 3rd gen ceph

3

Most common bug of pneumonia - healthy young people? Treatment?

Mycoplasmia. Treat: macrolide 1st priority.

4

Association of mycoplasmia pneumonia?

cold agluttins.

5

Pneumonia with recent hospitalization (3months, or in hospiital longer than 5 days)? Treatment?

Pseudomonas, Klebsiella, E. coli, MRSA. Tx: pip-tazo or imipenem + vanc

6

Alcoholics w/ Pneumonia w/ current jelly sputum? Tx?

Klebsiella. Tx w/ 3rd gen ceph.

7

Pneumonia in old men w/ HA, confusion, diarrhea and abdominal pain? Dx? Tx?

Legionella. Urine antigen. Tx: M, FQ, doxy.

8

Pneumonia post influenza? TX?

MRSA. Vanc.

9

Pneumonia + baby cow + GI sx? Tx?

Q fever. Coxiella burnetti. Tx: doxy

10

Pneumonia + rabbit contact? TX?

Franciella Tularenesis. TX w/ streptamycin, gentamycin

11

Most common cause of pneumonia in neonates?

Group B STrep, E coli

12

Most common cause of peumonia in children?

RSV, Mycoplasma, C. trachomatis (infants - 3 yrs), C. pneumonia (school aged children), S. pneumo. (Runts May Cough Chunky Sputum).

13

Aspiration pneumonia?

Anaerobes - peptostreptococcus, fusobacterium, prevotella, bacteroides

14

Atypical pneumonia

Mycoplasma, legionella, chlamydia

15

Cystic fibrosis + pneumonia?

pseudomonas, s. aureus, s. pneumo

16

pneumonia in the immunocompromised?

S. Aureus, enteric gram negative rods, fungi, viruses, p. jirovecci (HIV).

17

Nosocomial pneumonia

s. aureus, pseudomonas, other enteric gram negs.

18

post-viral pneumonia?

s. aureus, h. influenza, s. pneumo.

19

If suspicion for TB, best first test?

CXR

20

Where are TB lesions seen?

primary TB: hilar nodes + ghon focus in mid/lower lung: Ghon complex
Secondary TB/reactivation: fibrocaseous cavitary lesion in upper lobes.

21

TB screening guidelines? What's a + PPD?

>15 mm for normal patient
> 10 mm for prison, healthcare worker, nursing home, chronically ill, DM, EtoH
> 5mm for AIDS/immunosuppressed.

22

If +PPD then what?

CXR

23

If + CXR for TB then what?

acid fast stain of sputum. If neg, repeat x2.

24

If CXR neg or +CXR + three neg sputums, for TB then what?

negative.

25

If acid fast sputum +, treat with?

Rifampin, INH, pyrazinamide, ethambutol

26

Who needs chemoprophylaxis for TB exposure? What is the treatment?

INH for 9 months, kids under 4.

27

Side effects of Rifampin?

body fluids turn red/orange, induces cyp450

28

Side effects of INH?

Peripheral neuropathy, hepatitis w/ mild bump in LFTs, sideroblastic anemia (prevent w/ B6)

29

Side effects of pyrazinamide?

benign hyperuricemia

30

Side effects of ethambutol?

Optic neuritis, color vision abnormalities