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15 Cards in this Set
- Front
- Back
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Define an LRTI? |
Any infection of the respiratory tract from the vocal cords downwards |
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What are normal LRT bacteria? |
There are none it is sterile you dingbat |
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Causes of acute bronchitis (they are viral and there are five)? |
Influenza RSV Rhinovirus Adenovirus Parainfluenza virus |
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What criteria are used to determine antibiotic therapy in COPD sufferers? |
Anthonisen criteria |
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What are the anthonisen criteria? |
Any two of the following then need ABx:
Increased breathlessness Increased sputum volume Increased sputum purulence |
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In infective exacerbations of COPD which two ABx are used? |
Amoxicillin
Tetracycline |
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CURB-65? |
Assessing severity of CAP
Confusion (AMT of 8 or less) Urea above 7mmol/l Resp rate >30/min Blood pressure syst <90 diarist <60 Over 65 |
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What do the curb scores translate as in terms of treatment? |
0 - treat in the community
1 or 2 - Hospital referral for assessment
> or 3 - Urgent admission |
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Pneumonia pathogens can be grouped how and give some example? |
Typical - lobar - S.pneumoniae (amox)
Atypical - multilobar - Mycoplasma, Chlamydia, Legionella - Macrolide |
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Q fever caused by which bacteria? |
Coxiella |
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Pneumonia in the immunocompromised what should be considered? |
Coliforms Pseudomonas
S.aureus S.viridans
As well as fungi |
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Which pneumonia causing pathogen is related to HIV? |
Pneumocystis jiroveci |
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What does P.jiroveci respond well to? |
Co-trimoxazole and steroids |
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CF causes bronchiectasis, what pathogens are involved? |
S.aureus H.influenzae M.catarrhalis P.aeruginosa |
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What is the difference in terms of diagnosis of a parapneumonic effusion and an empyema? |
PPE - pH >7.2
Empyema - pH 7.2 |
