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Pulm 1 (PFTs & URIs)
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Question | Answer |
---|---|
What is the tx of iron OD? | deferoxamine |
What is a normal A-a gradient? | 5-15mmhg |
What causes a high A-a gradient? | anything that causes higher O2 in alveoli than in the arterial blood such as PE, pulmonary edema, ARDS, L-->R shunt |
What are the feared complications of untreated strep pharyngitis? | Pheumatic heart dz and GN |
What is a helpful sx to differentiate a common cold from the flu? | myalgias? |
What are the signs of peritonsillar abscess? | deviated uvula, trouble opening mouth, muffled "hot potato" voice |
A sugical pt has had a NG tube in place for 2 wks due to gastroparesis. He has a persistent fever & elevated WBCs w/o an identifiable source. UA, cultures and CXRs are negative, and the wound is fine. He has no abdominal pain. What study should we get? | CT of sinuses (NG tube may have lead to acute sinusitis) |
What is the typical time frame after which acute bacterial sinusitis is the cause of purulent nasal discharge? | >= 7 days |
What is the tx for peritonsillar abscess? | needle aspiration or I&D, pain meds + antibiotics(augmentin or clindamycin) |
What are the potential complications of sinusitis? | meningtis (rarely), abscess, orbital infections, osteomyelitis |
What is the classic presentation of allergic fungal rhinosinusitis? | the sinuses are opacified with thick "allergic mucin" that is colonized with fungus(not to be confused with invasive fungal dz). |
How is allergic fungal rhinosinusitis diagnosed? | usually dx made at the time of surgery when the allergic mucin is identified. |
What is a normal FEV1/FVC? | 80% |
You confirm that a patient has influenza virus. What medication can be used to treat, if it's within the first 48 hours of illness? | zanamivir and oseltamivir |