Tuesday, March 16, 2010

Respiratory blocks




Laki ensem ni lagi..hee~

Complication of pneumonia:
respiratory failure, sepsis and septic shock,pleural effusion, empyema and lung abscess.Pericarditis,myocarditis and cholestatic jaundice

Antibiotics: Amoxycillin, Erythromycin, Fluroquinolones, Ampicillin, Cefuroxime

Chest xray reveal: 1)area of opacity-> consolidation either patchy or diffuse area.
2) Cavitation
3) Pleural effusion;Kerley B lines, blunted costophrenic angles

Clinical:
Symptoms: fever,rigors,malaise, anorexia,dyspnoea,cough purulent sputum,hemoptysis,pleuritic pain:
Cyanosis, confusion,signs of consolidation such as ++tactile vocal fremitus@vocal resonance, bronchial breathing and pleural rub

HIV patient : Pneumocystis pneumonia
organism: Pneumocystis jiroveci
Dry cough, exertional dyspnoea, fever, bilateral crepitation
Drug: High dose Cotrimoxazole
Ini baru satu..ade byk lagi..(T...T)

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