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Step 2 Pneumonia

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ruhland1's version from 2015-10-09 10:26

Section 1

Question Answer
neonateGBS, Ecoli
< 1 yrRSV
2-5 yrparainflu
6wk-18yrmycoplasma, chlamydia pneu, step pneu
18-40 yrmycoplasma, Chylamdia Pneu, S pneu
40-65Mycoplasma, S pneu, HiB, Anerobes
>65 yoS. Pneu, Anerobe, H Influ, G+ Rod (kleb)
Cystic FibPsuedomonas
ImmundefNorcardia Asteroides, Coxiella, Aspergillus
Fungal ballsAspergillus
Atypical PneuMycop, Legionella, Chylmidia
HCAPStaph, G- rod, anerobe, G+ rod
HIVPCP, CMV
alcoholicsKleb
Bird droppingsPsiiticosis, Histoplasmosis
immigrantTB
COPDH influ, Moraxella, S. Pneu
TB patientAspergillus cavitation
Post viralS. Aureus, H influ
presentationF, productive cough, night sweats, pleuritic chest pain
Px Exdecreased breath sounds, wheezing, crackles, A->E egophany
percussiondullness, tactile fremitus
evalCXR, culture, CBC, Air Blood gas
Legionellaurine antigen test
Chylmidia pneuPCR
MycoplasmaMycop antigen, cold agglutinins
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Section 2

Question Answer
aspergillosusvoriconizole, ampho B
PCPhoneycomb cxr
PCP txTMP-SMX, steroids
CMVgancyclovir/focarsnet
AdenovirusNSAID h2o
TBRIPE (rifampin,isonazid (coadmin B6), pyrazinamid, ethambutol
S Pneuamoxicillin -> Amox-clavunate or ceftriaxone, CAP = B-lactam + macrolide or flox
Klebceftriaxone
aspiration pneumoniaclindamycin above dia metronid below and piperacillin/tazobactam to cover G-
CAP out ptAZT or Clathiro or doxycycline
CAP inpatientLevoflox, or Ceftriaxone + Azt
HCAP defhave pneumonia after 48 hr in hospital
HCAP tzCefepepime, Pipericillan+tazobactam, carbapenems
lung abcessthink anerobe so clinda or penicillin
kleb txgentamicin
memorize

Section 3

Question Answer
sick birdpsitticosis
farmcoxiella burnetti
cxrabscess, pleural effusion
hilar LADmycop pneu
high WBCS pneu
Pneumonia severityRR>30, diastolic <60, urea>7, confusion sx
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