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18 Cards in this Set

  • Front
  • Back
how long is an acute cough?
< 3 weeks
how long before you consider a cough chronic?
> 3 weeks
4 common reasons why you should order a CXR for a cough
pulmonary cause is suspected
hemoptysis
chronic cough
longtime smoker
3 common symptoms of a viral URI, not common in bacterial URIs
rhinorrhea
myalgia
headache*

(yellow sputum suggests bacterial)
1st line for cough secondary to postnasal drip
1st generation antihistamine/decongestant
1st line for cough secondary to allergic rhinitis
long-acting oral antihistamine
(loratadine)
why give non-specific antitussives? (3)

what are the common meds? (3)
unknown cause of cough
specific therapy not effective
cough serves no purpose

codeine
dextromethorphan
benzonatate (Tessalon Perles) capsules
common signs on PE of pneumonia (5)
fever
tachypnea
crackles
egophony
dullness to percussion
mc cause of the common cold?
rhinovirus
what is sinusitis?
inflamm of the lining of the paranasal sinuses
mcc of acute bacterial sinusitis (3)
streptococcus pneumoniae
haemophilus influenzae
anaerobes

(staphylococcus aureus and G-negatives for those with multiple infections and courses of antibxs)
mc sinuses involved in sinusitis
maxillary sinuses
common antibiotics for acute purulent sinusitis (6)
amoxicillin
amoxicillin-clavulanate
TMP/SMX
levofloxacin
moxifloxacin
cefuroxime
mcc of laryngitis (3)
viral
moraxella catarrhalis
haemophilus influenza
what's the biggest concern for someone with a sore throat?
group A B-hemolytic streptococcus -> rheumatic fever
what organism causes a sore throat and a pseudomembrane covering the pharynx?
corynebacterium diphtheriae
what test do you order if you suspect mononucleosis?
mono spot blood test
(measures anti-bodies to EBV)
treatment for strep throat?
penicillin x 10 days
(erythromycin for PCN allergy)