Pulmonary Review
From Iusmicm
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===Definitions=== | ===Definitions=== | ||
===Concepts=== | ===Concepts=== | ||
+ | *Time of onset informs the likely causative agent: | ||
+ | **0-2 days: bacterial | ||
+ | **0-2 days: mycoplasma, viral, legionella, pneumocystis, fungal | ||
+ | **chronic: anaerobic, mycobacterial, fungal, nocardia, actinomycosis | ||
+ | |||
+ | |||
+ | *Distribution informs the likely causative agent: | ||
+ | **Lobar: bacterial, anaerobes | ||
+ | **Diffuse: viral, pneumocystis, mycoplasma, fungal | ||
+ | **Nodular / cavitary: mycobacterial, fungal, anaerobes | ||
+ | |||
===Details=== | ===Details=== | ||
+ | *Workup for the pt with pneumonia: | ||
+ | **H&P | ||
+ | **CBC, electrolytes, glucose, BUN / Cr, LFTs | ||
+ | **ABG, puls oximetry | ||
+ | **Chest radiograph | ||
+ | **Sputum gram stain, sputum culture (2 days) | ||
+ | **Blood culture x2 (hospitalized pts, only) | ||
+ | ***Legionella | ||
+ | ***Fungi | ||
+ | ***Mycoplasma | ||
+ | ***Respiratory viral titers | ||
+ | **Thoracentesis | ||
+ | |||
==Pulmonary Hypertension== | ==Pulmonary Hypertension== | ||
==Pulmonary Embolism== | ==Pulmonary Embolism== |
Revision as of 01:16, 9 February 2012
Introduction
Approach to Shortness of Breath
History and Physical Exam
Pulm Function Testing
Peds Pulmonary
Pneumonia
Definitions
Concepts
- Time of onset informs the likely causative agent:
- 0-2 days: bacterial
- 0-2 days: mycoplasma, viral, legionella, pneumocystis, fungal
- chronic: anaerobic, mycobacterial, fungal, nocardia, actinomycosis
- Distribution informs the likely causative agent:
- Lobar: bacterial, anaerobes
- Diffuse: viral, pneumocystis, mycoplasma, fungal
- Nodular / cavitary: mycobacterial, fungal, anaerobes
Details
- Workup for the pt with pneumonia:
- H&P
- CBC, electrolytes, glucose, BUN / Cr, LFTs
- ABG, puls oximetry
- Chest radiograph
- Sputum gram stain, sputum culture (2 days)
- Blood culture x2 (hospitalized pts, only)
- Legionella
- Fungi
- Mycoplasma
- Respiratory viral titers
- Thoracentesis