Step 2 Pulm
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Classification types of asthma and symptoms.
- Mild Intermittent: symptoms < 2/week; wakening < 2/mo
- Mild Persistent: rescue > 2/week; wakening > 2/mo
- Mod Persistent: rescue daily; wakening > 1/week; symptoms affect activity
- Severe: symptoms with minimal activity; wakening > 1/night
Treatment for different classifications of asthma.
- Mild Intermittent: Inh short acting B2 agonist
- Mild Persistent: Inh short acting B2 agonist + Inh low dose steroid
- Mod Persistent: " + long acting B2 agonist; possible leukotriene inhibitor or theophylline
- Severe: Inh high dose steroids + long acting B2 agonist; possible systemic steroids
College student with PNA symptoms. DDx?
Mycoplasma or Chlamydia
Alcoholic with PNA symptoms. DDx?
Klebsiella (Current Jelly), Staph aureus, or enteric bugs (aspiration)
CF pt with PNA symptoms. DDx?
Pseudomonas or S. Aureus
COPD pt with PNA symptoms. DDx?
H influ or Moraxella
Pt with known TB or cavitation lesion with PNA symptoms. DDx?
Pt with silicosis with PNA symptoms. DDx?
AIDS pt with PNA symptoms. DDx?
Pneumocystis jiroveci or CMV (koilocytosis)
Pt with exposure to bird droppings with PNA symptoms. DDx?
Chlamydia psittaci or Histoplasma
Child age 2-5 with PNA symptoms.
Parainfluenza (croup) or epiglottitis
Recurrent pediatric PNA in same lung segment. Cause?
Foreign body aspiration esp when in right middle or lower lobe
Rx for typical PNA (s. pneumo)?
3rd generation ceph or flouroquinolones
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