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27 Cards in this Set
- Front
- Back
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What is the distribution of bronchopneumonia/lobular?
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To the bronchi
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What is the distribution of lobar pneumonia?
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Lobar distribution, rather than to the bronchioles/bronchi
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What types of viruses cause pneumonia?
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CMV
Adenovirus Herpes Influenza A,B |
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What kind of bug caused this type of pneumonia?
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CMV
Nuclear inclusions Cytoplasmic inclusions |
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What kind of a bug caused this kind of pneumonia?
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Herpes
Inclusions are inside the cells, but they're not as enlarged as CMV You see smudgy chromatin Necrosis is also happening |
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What kind of a bug caused this type of pneumonia?
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Adenovirus
Mild cellular enlargement...smudge cells Darker colored than herpes, not the bubble around the nucleus that you see with the CMV |
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What serious pulmonary condition does H1N1 cause?
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ARDS
No viral cytopathic changes |
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What are the most common types of bugs causing nosocomial pneumonia?
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Gram negative rods
S. aureus NOT S. PNEMO |
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What are risk factors for nosocomial pneumonia?
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Immunosuppression
being in the hospital Prolonged antibiotics Indwelling vascular devices |
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What's happened here? What predisposes someone to this?
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Aspiration of plant material--> aspiration pneumonitis
Debilitation Unconscious HEENT interventions |
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What are granulomatous fungi at 98.6F?
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Histoplasma
Coccidiodes Blastomyces Cryptococcus |
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What are non-granulomatous fungi at 98.6?
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Aspergillus
Zygomycetes Pneumocystis jirovecii Candida |
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What are problems that can occur secondary to histoplasma?
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Chronic progressive lung disease
Widely disseminated disease FIBROSING MEDIASTINITIS--> THIS WILL BE ON THE TEST! |
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What is a complication that can occur secondary to fibrosing mediastinitis from this organism?
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SVC syndrome-->flushing of face, edema of upper extremities
Histoplasma |
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Where is histoplamsa found? What does it look like?
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Soil with bird, bat poop
Ohio, Mississippi river valleys Thin-walled yeast |
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What is occurring here? What organism causes this?
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Fibrosing mediastinitis
Histoplasma |
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Where is the geographic locale of blastomycosis dermatidis?
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Central, SE US
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What does blastomycosis dermatidis look like?
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Round yeast
Broad based budding |
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What are the clinical forms of blastomycosis dermatidis?
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Pulmonary
Disseminated Primary cutaneous |
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What type of a cell is this? What can it cause?
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Blastomyosis dermatidis
Pumonary blastomycosis Disseminated blastomycosis Primary cutaneous blastomycosis |
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What organism is this? Where is it found? What can it cause?
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Coccidioides immitis
Southwest, western US Rarely causes respiratory symptoms |
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What is the appearance of aspergillus on a slide?
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Fruiting bodies
Septate hyphae Acute angle branching |
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What are the different kinds of manifestations that aspergillus can have? What are the requirements for each/
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Colinizing aspergillus: noninvasive colonization of a space that's been there
Invasive: occurs in immune compromised hosts...leads to infarcts |
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What kind of patients can have a problem with pneumocystis jirovecii?
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Immune compromised patients
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How do carcinoid tumors distribute through the lung?
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Uniformly distributed
Asymptomatic |
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What is the typical appearance of a small cell carcinoma?
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Scant cytpolasm
Salt and pepper nuclear chromatin High mitotic count |
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What is the main cause of malignant mesothelioma?
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Asbestos
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