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27 Cards in this Set

  • Front
  • Back
what is the most common cause of bacterial community acquired pneumonia?
streptococcus pneumoniae
a 18 year old walks into the clinic with a hx for a chronic cough and mild fever. chest x-ray shows lots of interstitial infiltrates. what is the most likely cause of his pneumonia?
mycoplasma pneumoniae
what is the most common viral cause of community acquired pneumonia?
influenza A
what is antigenic drift? what does it cause?
- minor changes in the viral genome
- epidemics
what is antigenic shift? what does it cause?
- major changes in the viral genome
- pandemics
who is most likely to be infected with influenza? who is most likely to die from influenza?
- children
- adults
what is Reye's syndrome?
post-infectious encephalopathy due to aspirin use during viral infections
what causes adenoconjuctivitis?
adenovirus; a DNA virus
who gets adenoconjunctivitis?
people who live in crowded places; schools, military recruits, prisons
what is the pathogenesis of adenoconjunctivitis?
- day 1 = sore throat
- day 2 = eyes are red
- day 3 = cannot open eyes because they have rubbed the infection into the eye
how do we treat adenoconjunctivitis?
this is a self-limiting disease but we watch it for secondary bacterial infections
T or F: if the rapid strep test comes back negative we can rule out GAS infection.
false
how do we treat GAS? how do we treat recurrent GAS?
- penicillin V
- erythromycin
who gets epiglottitis? what is the cause? what are the symptoms?
- children > 2 y/o
- Hemophilus influenzae
- the 4 D's
- dysphagia
- dysphonia
- drooling
- distress
what is croup?
an URI that causes swelling of the larynx resulting in the characteristic barking cough; can be viral or bacterial
what are the bacterial causes of sinusitis? how do we treat them?
- S. pneumoniae (1) & H. influenzae
- amoxicillin works for both
what is chronic sinusitis?
symptoms of sinusitis > 3 months
what causes typical pneumonia? what causes atypical pneumonia?
- S. pneumoniae
- mycoplasma and legionella
what are the cause in order from most common to least common of community acquired pneuomia?
1. S. pneumoniae
2. H, influenzae
3. K. pneumoniae
4. P. aeruginosa
5. S. aureus
what are the causes in order from most common to least common of nosocomial pneumonia?
1. S. aureus
2. P. aeruginosa
3. K. pneumoniae
4. H. influenzae
5. S. pneumoniae
what will a good sputum sample have?
less than 10 squamous epithelial cells per low power field
who gets mycoplasma? who gets legionella?
- young people who live in crowded areas
- older people especially those who are around air conditioners, cooling towers, etc.
how do we treat mycoplasma?
macrolides
what is the definition of nosocomial pneumonia?
pneumonia occurring > 48 hours after admission and excluding any infection that is incubating at the time of admission
what is the strongest predisposing factor to developing nosocomial pneumonia?
intubation
where will aspiration pneumonia always occur?
right bronchus in the posterior
what is severe acute respiratory syndrome (SARS)? what causes it?
- a new form of atypical pneumonia
- corona virus