1
Q
Late onset HAP
A
more than 48 hrs of admission
1-Pseuds, in ventilated pts esp after 5 days
2-H influenza
3- E-coli ( lactose fermenting gram -ve rod)
4- Klebsiella ( non lactose fermenting gram -ve rod)
2
Q
late onset HAP Mx
A
IV Pip Taz
or IV meropenem or IV ceftazidime
if MRSA - IV Vanc
3
Q
COPD Mx
A
1st line-SABA or SAMA
2nd line if steroid non responsive:
1-LABA + ICS if no reponse
LABA+ LAMA+ ICS
if not steroid responsive:
-LABA+LAMA
4
Q
Steroid responsiveness if:
A
-history of atopy or asthma
-Diurnal variation in PEFR of 20%
-variation in FEV1 of more than 400
5
Q
Resolution of CXR in pneumonia
A
6 weeks ( follow up in 6 weeks)
6
Q
Mx o alpha 1 antitrypsin
A
lung volume reduction surgery
7
Q
Pancoast tumor
A
miosis
ptosis, anhydrosis,
enophthalmos
