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16 Cards in this Set
- Front
- Back
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how can cough with the common cold be differentiated from bronchitis?
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Postnasal drip and throat clearing is an upper resp cough syndrome
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most common cause of bronchitis
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viral
Influenza A/B parainfluenza RSV Corona Adeno Rhino |
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atypical bacteria are an important cause of acute bronchitis in an otherwise healthy individual. What are included in atypicals?
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Mycoplasma pneumoniae
chlamydophila pneumoniae brodetella pertussi B. parapertussis |
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most common causal agent for common cold
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Rhinovirus
characterized by sore throat, malaise, low grade fever, cough. resolve around day 7, peak of sx on day 3/4 |
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Given the following clinical presentation, give the likely pathogen (viral):
abrupt onset of fever, chills, myalagias, HA, cough. May have myositis with elevated serum CK and myoglobinuria. May cause pneumonia |
Influenza and avian influenza
tx: if sx<48 hrs oseltamivir 75mg bid for 5 day; zanamivir 2 puffs bid for 5 d |
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Given the following clinical presentation, give the likely pathogen (viral):
epidemics occur autumn to winter, most commonly causes croup in kids but may lead to bronchitis or pneumonia; mild sx in adults |
Parainfluenza virus
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Given the following clinical presentation, give the likely pathogen (viral):
outbreaks in winter or spring, 45% of adults exposed to infants with bronchiolitis experience cold like sx, ear pain in 20% of adults |
RSV
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Given the following clinical presentation, give the likely pathogen (viral):
may presetn as common cold but also may causes severe resp distress in elderly, epidemics with high attack rates have been reported in military recruits |
Corona virus
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Given the following clinical presentation, give the likely pathogen (viral):
may be similar to influenza with abrupt onset of fever |
adenovirus
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Given the following clinical presentation, give the likely pathogen (viral):
mild cold sx, fever uncommon |
rhinovirus
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Given the following clinical presentation, give the likely pathogen (viral):
acute undifferentiated febrile illness most common, may cause rhiniitis and pharyngitis |
enterovirus
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Given the following clinical presentation, give the likely pathogen (bacterial):
incubation is 1-3wk most common in adolescents and young adults, 10-20% have couh for over 2 weeks "whooping" occurs in miniortiy of pts, fever is uncommon, may have leukocytosis with lymphocyctic predominance |
Bordetella pertussis
tx does not shorten the course |
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Given the following clinical presentation, give the likely pathogen (bacterial):
incubation is 2-3wk onset over 2-3 d, outbreaks common in adolscents or young adults in sequestered environments (military, boarding schools) |
Mycoplasma pneumoniae
Azithromycin or other macrolide |
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Given the following clinical presentation, give the likely pathogen (bacterial):
Incubation is 3 wk, gradual onset of sx with hoarseness b4 cough, outbreaks common in those livign in sequestered environments (college students, nursing home residents) |
Chlamydophilla penumoniae
Macrolide |
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in the first few days of an acute infection, the sx of mild upper resp infetions are indistinguishable from those of acute bronchitis. However cough will ofen persist for >__ daysin acute bronchitis and PFT may...
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5 day
become abnormal |
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There are 5 criteria that must be ABSENT to safely rule out pneumonia on clinical grounds...what are they? (can't see using this hahaha just get a CXR)
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1. HR > 100
2. RR> 24 breaths/min 3. T > 38 (100.4) 4. Chest exam findings of focal consolidation, egophony, fremitus 5. Age>64 |
