IM：chest

13 flashcards · Other · by Wanying Koh

1. CAP bacteria serious infection COPD bronchiectasis after viral infection 清水塔 aspiration pneumonia

   serious infection: S. pneumonia, KP, PA, SA, Burkholderia pseudomallei, Acinetobacter baumannii COPD: H. influenzae, Moraxella catarrhalis bronchiectasis: P. aerugenosa after viral infection: S. aureus 清水塔: legionella aspiration pneumonia: Enterobacteriaceae, S. aureus, S. pneumoniae, H. influenza

2. HAP MDR bacteria

   PA, KP, ESBL, MRSA, AB, Stenotrophomonas maltophilia

3. HAP bacterial infection 跟 ABx 有無相關 PA ESBL enterobacteriaceae MRSA AB S. pneumoniae, H. influenza

   prior ABx use 3rd gen cephalosporin prior ABx use carbapenem, fluoroquinolone NO ABx

4. lung abscess vs. empyema tx

   lung abscess: broad spectrum ABx (drainage only if medical therapy no use) empyema: chest tube drainage + ABx

5. Virchow's node define

   left supraclavivular LN most commonly meta from lung ca second meta from gastric ca testis/ovary ca

6. CXR views 看什麼 PA AP lateral lateral decubitus lordotic

   most commonly used. lung area 最大 heart 放大 retrosternal, retrocardiac, spinal pleural effusion lung apex, upper lung, so clavicle doesnt block view

7. mesothelioma 好發於哪個部位 好發族群 type w best prognosis tx

   pleura 75% long-term asbestosis contact in males, middle-aged epithelioid type OP+CT+RT poor prognosis cancer

8. obstructive vs restrictive 數值

   normal DLCO : 75% of predicted normal TLC：80-120% predicted

9. pulmonary embolism cxr

   Hampton's hump - wedge shaped opacity

10. lung cancer subtype prognosis micropapillary solid papillary acinar lepidic

    best ----> worst lepidic > acinar / papillary > micropapillary / solid

11. bronchial sounds

    indicate lungs 裡面有水 - breathing sounds 增強 pneumonia - if 局限性 to lobe - unilateral pulmonary edema - bilateral lungs 外面有水/氣 - breathing sounds 減弱/消失 pleural effusion tension pneumothorax

12. lung abscess etiology 好發族群 好發部位 菌種 tx

    aspiration from respiratory tract/oropharyngeal cavity DM pts, alcoholics RUL post. segment // bilateral apical segments - 平躺最低位 polymicrobial - S. aureus, KP ABx + drainage

13. most common lung complication associated w rib fracture in elderly

    pneumonia