Blog Archives

Pneumonia – AFP 2011

Community-acquired pneumonia (CAP) Pulmonary parenchyma infection Not hospitalized within 14 days of onset OR hospitalized <4days prior to onset Typical Pneumonia: S. Pneumoniae, Moraxella catarrhalis, Haemophilus influenzae, Staph aureus, GAS Atypical pneumonia: mycoplasma pneumoniae, chlamydia pneumoniae, legionella, respiratory viruses (influenza virus

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Posted in 74 Pneumonia, 99 Priority Topics, FM 99 priority topics, Resp

Pertussis – AFP 2006

Bordetella pertussis, a highly communicable gram-negative coccobacillus, causes pertussis (whooping cough). B. pertussis is an exclusively human pathogen that is transmitted via airborne droplets and highly contagious. The incubation period is typically approximately one week but may be three weeks or longer.

Posted in 17 Cough, 99 Priority Topics, Resp

Allergy – CSACI 2014 Guideline

1. In all patients, always inquire about any allergy and clearly document it in the chart. Re-evaluate this periodically. The most common allergens include certain foods – nuts, shell fish insect stings (yellow jackets, hornets, wasps, honey bees). Less common causes include

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Posted in 3 Allergy, 99 Priority Topics, FM 99 priority topics, Resp

Smoking Cessation – CAN-ADAPTT Guideline 2012

Motivational Tasks Associated with Patient Stages of Change Precontemplation – Not considering the possibility of change Raise doubt.Help patient understand the benefits of the unhealthy behaviour, while at the same time highlighting the costs Contemplation – Seriously thinking about change,

Posted in 85 Smoking Cessation, 99 Priority Topics, FM 99 priority topics, Resp

DVT – Thrombosis Canada 2014

1) In patients complaining of leg pain and/or swelling, evaluate the likelihood of deep venous thrombosis (DVT) as investigation and treatment should differ according to the risk. calf pain, lower extremity swelling (>3cm c/w unaffected side-10cm below tibial tuberosity, circumference)

Posted in 21 DVT, 99 Priority Topics, FM 99 priority topics, Resp

Croup in children – CMAJ 2013

Croup – Key Points Caused by a viral URTI & 2nd most common cause of respiratory distress in children Characterized by the abrupt onset of barky cough, inspiratory stridor, hoarseness and respiratory distress Oral corticosteroids reduce the severity & duration of

Posted in 20 Croup, 99 Priority Topics, FM 99 priority topics, Resp

Sleep Disordered Breathing (OSA) CTS 2011 Guideline

Symptoms: Recurrent nocturnal awakening Unrefreshing sleep Daytime sleepiness Bed partner c/o loud snoring, nocturnal apnea choking episodes 4 types of Sleep apnea Obstructive Sleep Apnea (OSA) More common in overweight pt More likely to have car crashes due to xs

Posted in 53 Insomnia, 99 Priority Topics, FM 99 priority topics, Resp

COPD – Canadian Thoracic Society 2007

COPD A respiratory disorder characterized by progressive airway obstruction, lung hyperinflation, and systemic manifestations. Exacerbations gradually increase in frequency & severity Early Dx & smoking cessation can slow progression of COPD 2 types Chronic bronchitis – chronic productive cough x

Posted in 15 COPD, 99 Priority Topics, FM 99 priority topics, Resp

Asthma – Canadian Thoracic Society 2012 guideline

Asthma: A chronic inflammatory condition in which airways are hyper-reactive to environmental (allergenic, irritants, infectious) and / or intrinsic factors Key Points Clinical suspicion should be confirmed with pulmonary function test for the presence of reversible airway obstruction Regular reassessment of lung

Posted in 7 Asthma, 99 Priority Topics, FM 99 priority topics, Resp
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