Respiratory Syncytial Virus
_________ is the most common cause of bronchiolitis.
>=48 hours after admission
What is the time frame for pneumonia to be considered HA?
dry, persistent cough; body aches, sore throat
What are the most telling signs of Bronchitis? (3)
fever, productive cough
What are the most telling signs of Pneumonia? (2)
medical history, vitals/physical exam (rule out other causes)
How do we diagnose Bronchitis? (2)
tachycardia, tachypnea, infiltrates, low O2 sat, cultures
What do we look for when diagnosing CA-Pneumonia? (5)
b
Which is most likely to result in Purulent secretions?
a) CAP
b) HAP
c) Bronchitis
a
Which is most likely to result in dyspnea?
a) CAP
b) HAP
c) Bronchitis
b
Which is most likely to result in abnormal WBC?
a) CAP
b) HAP
c) Bronchitis
c
Which is most likely to present with Congestion?
a) CAP
b) HAP
c) Bronchitis
s.pneumonia, h.flu, atypicals
Which are the most common bacteria in CAP? (3)
s. aureus, pseudomonas, klebsiella
Which bacteria are most common in HAP/VAP? (3)
alcoholism, HIV, COPD/smoking, environmental exposure, sick contacts
What are the risk factors for CAP? (5)
mechanical ventilation
What are the risk factors for HAP?
cardiopulmonary comorbidities
What is the biggest risk factor for Bronchitis?
confusion, uremia; BUN >7, RR >=30 breaths, Low BP; systolic < 90; diastolic <=60, age >=65
CURB-65 Criteria?
persistent cough, night sweats, hemoptysis(cough blood)
What are the presentation characteristics of TB? (3)
chest x-ray, acid-fast bacilli on smear, cultures, PPD/IGRA
How do we diagnose TB? (4)
close contacts w active TB, incarceration, homelessness, illicit drug use, crowded living,
What are the risk factors for TB? (5)
HIV, hepatitis, alcoholism
Which comorbidities put one at risk for TB? (3)