Term
| MCC of lower resp dyfxn 2ry to electrical fire |
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Definition
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Term
| MC risk factor x proven PE |
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Definition
-Current DVT
-Obesity
-Immobility/proonged bedrest
-Recent trauma/burns/surgery
Others:
Prior DVT/PE, smoking, CA, estrogen tx, pcy/post partum, inherited d/o |
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Term
| Foul smelling sputum caused by |
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Definition
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Term
| What is Cheyne-Stokes breathing? |
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Definition
Crescendo-decrescendo breathing followd by a short period of apnea
Assoc. w/structural or metabolic dfxn of both cerebral hemispheres |
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Term
| In foreign body aspiration, what do you expect to see on CXR? |
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Definition
| End expiratory hyper-expanded side ( usually R side) |
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Term
|
Definition
-Rare
-G(-) cocci chains or pairs
-sudden fvr, chills, coosh (blody purulent), fine rales
-CXR: multi lobular w/effussion
-Incr. motility progress to pneumonitis
-DOC: PNC IV, ceftriaxone,erythromycin |
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Term
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Definition
| -DOC: PNC IV, ceftriaxone,erythromycin |
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Term
| Penumonia assoc. w/ hypoNa, hypoPO4, sputum w/ few PMN & no organism, hematuria, elevated LFT's, toxic pt w/relative bradycardia |
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Definition
Legionella
Rx: Ery 500 qid x 3 wks |
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Term
|
Definition
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Term
|
Definition
Atelectasis
Pulm parenchymal abnormalities
elevated diaphragm
effusions
Hampton's hump (Pleural based infiltrate pointed towards hilum)/Westermark's(Dilated proximal vessels with a distal cutoff) - rare
S1 Q3 T3 (<20%) |
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Term
Normal Chest XRay in Acute Dyspnea and Hypoxemia
absent wheezing suggests? |
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Definition
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Term
|
Definition
#1: Gram (-) sepsis
#2: aspiration |
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Term
|
Definition
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Term
|
Definition
| n/V/D, abd cramps, nervousness, tremor, HA, dysrythmias, S2 |
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Term
| Anticholinergics in asthma |
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Definition
Atropine, ipratropium bromide
Decrease cGMP-> bronchodilation or large central airways |
|
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Term
| b-adrenergic in asthma mechanism of action |
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Definition
Incr. cAMP-> sm mm relaxation small airwyays
Inhibit allergic mediators |
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Term
| Pneumonia w/abscess formation |
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Definition
| Klebsiella, staph, pseudomonas |
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Term
| Group A Strep pneumonia X-Ray |
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Definition
| Patchy , multilobular w/ pleural effusion |
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Term
| Rocky Mount Spotted Fvr w/o Tx could die of? |
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Definition
| Pneumonitis (mortality w/o Tx: 8-20%; with Tx: 5%) |
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Term
|
Definition
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Term
|
Definition
|
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Term
| Gen characteristics of atypical pneumonia |
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Definition
| • Insidiums onset • Mod fvr • Constitutional Sx • Non-prod cough • Gram stain: many WBC, no predominant org • WBC-norm or mod↑ • CR: interstitial infiltrates • Protracted clinical course |
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Term
|
Definition
| • Diarrhea • ↑ Fever • Ill appearing • Non-prod cough • Malaise • Anorexia •Hyponatremia •Leukocytosis • Patchy inflitrates |
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Term
|
Definition
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Term
|
Definition
❑ Clindamycin ❑ Also: PNC, flagyl, cefoxitin
[image] |
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Term
| Dx test for mycoplasma pneumonia |
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Definition
| ✓ Cold agglutinin titers (neither sensitive or specific) ✓Compliment fixing antibody titers >1:64 is very suggestive of Dx |
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Term
|
Definition
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Term
|
Definition
| DVT pathogenesis: venostasis, hypercoagulability states, vessel wall inflammation/damage |
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Term
|
Definition
| • Gram neg, pleomorphic, rod, uncapsulated & encapsulated strains •Epid: winter/early spring, elderly •Si/Sx: SOB, fvr, pleuritic chest pain, rales, patchy alveolar infiltrates |
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Term
|
Definition
| Augmenting, azithro, bactrim, IV cefuroxime/ceftriaxone |
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Term
| Type of Hemophilus pneumo assoc w/epiglottitis |
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Definition
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Term
| Non-type B H.Influenza cuauses |
|
Definition
| otitis media, conjunctivitis & sinusitis in children, and is associated w/ pneumonia. |
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Term
| In infants & young children, H. influenzae type b (Hib) causes? |
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Definition
| bacteremia, pneumonia, & acute bacterial meningitis. Occasionally, it causes cellulitis, osteomyelitis, epiglottitis, & joint infections. |
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Term
| Who gets Chlamydial pneumonia? How is spread |
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Definition
| Young adults, person-person droplets, 6% Community-acq pneumonia |
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Term
|
Definition
| DOC: Doxycycline, erythro or Z-pack |
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Term
| Characteristics of Chlamydial pneumonia |
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Definition
| •Atypical: low grade fvr, dry cough, laryngitis, non-exudative pharyngitis • Obligate intracell, gram (-) |
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Term
| DDx of pleural effusion exudate |
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Definition
| Malignancy, Infect. bacterial, TB, TA, SLE, Dressler's Synd., pancreatitis, sub diaph. abscess, abd surgery, uremia, esoph rupture, PE |
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Term
| Complications of mycoplasma pneumo |
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Definition
| Aseptic mening, hemolytic anemia, CHF, Splenomegally, group B strep infxn |
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Term
| MC mechanism of bacteria pneumo infxn |
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Definition
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Term
|
Definition
|
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Term
|
Definition
| Phenytoin, phenobarb, carbamazepine, rifampin |
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Term
| Bloody rusty sputum assoc. w/ |
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Definition
|
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Term
|
Definition
| Lobar infiltrates +/- pleural effusion |
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Term
|
Definition
| Klebsiella pneumonia: Gram (-) |
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Term
| Klebsiella pneumonia presentation |
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Definition
| Sudden cough & chest pain, currant jelly sputum, Right-upper lobe predominance, community acq., think alcoholics, DM, COPD |
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Term
|
Definition
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Term
| DDx Anterior mediastinal mass |
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Definition
| 5 T's: Thymoma (consider myasthnia), thyroid (retrosternal), teratoma, T-cell lymphoma, terrible CA |
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Term
| MCC noncardiogenic pulmonary edema |
|
Definition
| IVF's overload, High altitude PE, Thermal injury, drowning, toxins (ASA, phenobarb, CO, opiates), strangulation, fat/amniotic emboli, neurogenic (SAH, Sz, head trauma, electrocution), ARDS, pulmonary contusion, multiple transfusions, reperfusion injury, severe infxn, AV malformation, upper airway obstruction |
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Term
| MC community acquired pneumonia in healthy host |
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Definition
| Strep. Pneumoniae: gram (-), lobar, DOC: PNC, rust-colored sputum, cough, fvr, chills |
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Term
| Transudate pleural effusion |
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Definition
| CHF, constrictive pericarditis, SVC obstruction, ↓albuminemia, nephrotic syndrome, cirrhosis, perit dyalisis |
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