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LR Tract Infex

QuestionAnswer
What does purulent sputum indicate? Can be viral or bacterial infex
Viruses causing Acute Bronch? Influenza V, rhinovirus, coronavirus, resp syncytial V
Acute bronch caused by what bacteria (if bacterial)? Mycoplasma pneumoniae Chlamydia pneumoniae Bordatella pertussis
Typical cough duration for acute bronchitis? ~2wks
Why are OTC cold meds often counter-productive in Abronchitis? Most have deconges/anti-hist, causing secretions to dry out, making them even harder to cough out
With severe AECB, usually see? ^Sputum volume ^Sputum purulence/visc ^Dyspnea
Classic presentation of S.pneumoniae? Rust colored sputum Rapid onset of fever High WBC CXR-lobar consolidation
Classic presentation of M.pneumoniae? Slow course Non-productive cough WBC NL or slightly^
Pathogen of "Walking pneumonia?" Mycoplasma pneumoniae
Clinical presentation of Legionella pneumoniae? Pleuritic CP May see hemoptysis ^d LFTs Hyponatremia
Treatment for CAP in an outpt that is otherwise healthy and has not been on abx in last 3 mo's Macrolide (E>A>C) 2nd: Doxycycline
Tx of CAP in an outpt w/comorbidity (hrt,lung,liv,renal dz, alcoholism, DM,immunosupp agents/condit) or use of abx in last 3 mo? Respiratory FQ 2nd:Macrolide+B-lactam Alt to macrolide:doxy Alt to B-lac:Cephalosporin(2,3)
Outpt tx of CAP in area w/>25% high-level macrolide- resistant S.pneumo? Resp FQ 2nd:Macrolide+B-lactam Alt to macrolide:doxy Alt B-lac:Cephalosporin
CAP tx of inpt in non-ICU? Resp FQ 2nd:Macrolide+B-lactam Alt to macrolide:doxy
Anthrax bacteria is? Large gram + spore-forming bacillus
Most common type of Anthrax? Cutaneous (90%)
Phases of inhalation anthrax? Phase 1:Fever,malaise,myalgia, non-productive cough PhaseII:Fever,acute dyspnea, cyanosis,shock,hypothermia and death
Inhalation anthrax can lead to? Anthrax meningitis (mortality ~100%)
Treatment for inhalation anthrax? -Cipro OR Levo OR Doxy + Clinda&/or Rifampin
Treat for how long (anthrax)? 60 days~
Created by: 572680793
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