Flashcards in Week 118 Bronchial sepsis Deck (138)
What is pleuritic chest pain?
Sharp pain on inhalation/movement like a bad stitch
What are rigors?
Feeling cold with a temperature/sweats and vice a versa
If a pt has recently been on holiday, what is this significance of this?
What is palmar erythema and what is it significant of?
Vasodilation because of shock with low bp
What are causes of low bp?
Shock- sepsis or anaphylactic
If a pt had a haemorrhage, how might their palms appear?
White and clammy
What do crackles sounds like?
What does pleural rub sound like?
Someone walking on snow
How do you know if RLZ is affected? (CXR)
Can't see diaphragm border
How do you know if right middle zone (lingular) is affected (CXR)?
Can't see right heart border
What is a white-ish shadow potentially on a CXR?
How many ribs should be seen on a CXR?
What are signs of type 1 respiratory failure?
Low o2 low co2
What are signs of type 2 resp failure?
Low o2 high co2
What is CRP?
Protein made in liver, over 100 indicates infection/inflammation
What type of resp failure is pneumonia?
What is high d-dimer indicative of in blood results?
Blood losing ability to clot so bruising and bleeding occurs e.g. overdose, kidney/liver failure
What is the average tidal volume?
How much air is processed in the lungs a day?
Describe features of typical pneumonia
-Purulent sputum (green)
Describe features of atypical pneumonia
When do you see helminths/protozoa infecting people?
Africa (sub-saharan), Asia
What colour do gram +ve bacteria stain?
Describe features of streptococcus pneumonia
•Lives in resp tract
•Rapid multiplication •Abrupt onset
moderate- am and clarithromycin
What presents on a CXR differentiating pneumonia from cancer?
black dots (bronchal...? research)
Describe features of haemophilus influenza
heamophilus lives in mouth, nose, doesnt cause massive infection- weak bug that grows over a few days
•Usually encapsulated (typeable forms)
•Small pleural effusions can occur
•Empyema / cavitation rare
community acquired- clarithromycin
Where does staphylococcus normally grow?
Describe features of Staphylococcus aureus
-common in anyone with breakage in skin e.g. drug addict- look for needle marks
•Spread via airways (viral) or •Bacteraemia (e.g. endocarditis)
•Lung tissue lysis leads to cavitation
•Septicaemia, empyema, abscesses are common
Describe features of Klebsiella
•Gram –ve (not blue)
•Colonise oropharynx •Nosocomial
nosocomial= nursing home
old people cant fight this off and have comorbidity
not dark blue stain
lives in stomach, intestines, oropharynx