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What is the parenchyma
The portion of the lung involved in gas transfer - the alveoli, alveolar ducts, and respiratory bronchioles
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what pneumonia is accompanied by a URI with a rash?
Mycoplasma
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what pneumonia is assosiated with diarrhea?
legoinalla
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what test should you run is you suspect legionella?
urine antigen test
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what test should you run if you suspect mycoplasma?
cold aglutenin
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what do you use to know when to hospitalize someone with pneumonia?
- The curb-65 scoring
- one point if:
- -confusion
- -urea >7
- -RR >30
- -BP <90/60
- -age > 65
- greater than 2 points you should consider hospitalizing or close home monitoring. 3 or more you hospitalize and manage as severe
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whats the most common pathogen in viral pneumonia?
Influenza
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risk factors for cocidiodomycosis?
Travel to southwest
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treatment for fungal coccidiodomycosis
- Itraconazole if out pt
- if severe - amphoteracin B
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cryptococcosis risk factors
HIV +
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cryptococcosis tx
Amphoteracin B + flucytosine
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histoplasmosis risk factors
Exposure to bird and bat droppings, travel to ohio river valley and mississippi river valley
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histomplasmosis tx
- Itraconazole in out pt
- amphoteracin in severe
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What do you treat LATENT tb with
just isoniazid
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what is a TB immunization?
Bacille calmette guerin (BCG) - generally not administered in US
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does latnet tb require isolatin?
No
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what disease is associated with hermansky-pudlack sign?
Idiopathic pulmonary fibrosis
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what is hypercalimia
Too much calcium in the blood
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what is moans, bones, groans, and stones associated with?
Hypercalimas which is a medical urgency
-
Pulmonary hypertension is an artirial pressure above what
>25 mmHg at rest
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group 1 PH is due to what
It is idiopathic
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group 2 PH is due to what
Left heart disease
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group 3 PH is due to what
Lung disease and/or hypoxia
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group 4 PH is due to what
Chronic thromboembolic pulmonary hypertension (CTEPH)
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Group 5 PH is do it what
Unclear multifactorial mechanisms
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what is a spontaneous pneumothorax
Occurs in pts w/o underlying lung disease
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what is a traumatic pneumothorax
Disruption of the pleural lining due to blunt of penetrating trauma
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what is a iatrogenic pneumothorax
Due to a medical procedure
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what is a tension pneumothorax
- Air in the pleural cavity under positive pressure
- dont need radiologic confirmation, is a medical emergency
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most pleural effusions are due to what
CHF, pneumonia, malignancy or PE
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lights criteria is associated with which disease
Pleural effusion
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nasal polyps are associated with what
Cystic fibrosis
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alpha 1 antitrypsin deficiency (AAT) is associated with what
COPD
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what has REID classification?
Bronchiectasis
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