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Meningitis
Causes :
Bacterial
Acute
meningitis
Viral
Fungal
Subachte
Tubercular to chronic
Crypto meningitis
coccus
neoformans -
Candida
Bacterial meningitis-
M/c organism -
Step preumoniae
CPneumococci)
>50 %
2nd M/C N
organism -> .
meningitidis
[meningococci)
125%
Diagnosis - PFT based .
FEY ,
↓ FVC ↓
FEXI
<0
. 7 () E >07
↓
Obstructive
airway disease
Bronchodilator
reversibility test
(BD12)
SABA
EV1 FEU/4ses or
by 212 % room
-
SABA Asthma
FEU , Ises
by <12 %
zu
COPD
-
Asthma-(N)/ O dIt
usedelavity
sed-
DLCO
- COPD-based
Alternative to
spirometry
·
->
·
PEFR Used .
SABA
PEFR 2 20 1 4 Asthma
·
:
.
·
in PEFR
Management :
Based on GINA
guidelines 2023 .
BABA
Maintenance
·
- LABA
medication
ICS
Rapid onset
LABA
ICS
If palient is refractory to ste MART ,
option
-
i) ID MART
ii) LAMA-Tiotropium
iii) Monoclonal antibodies
~
Omalizumab-Anti-IgE
Dupilimumab-> Anti-ILUR
~
Mepolimumab-> Anti-125
Type 2 ~
Reslizumab Anti-115
-
Benralizumab-Anti-125R
Tazepelumab Anti-TSLP
-
-
I
Can be used
for both type 2
and
non-type 2
asthma
Management : GOLD 2023
guidelines
Vaccination -
~
Pneumococcal vaccine (Pneumovac 23)=
~ Influenza vaccine
COVID-19
O
~
mcq
- dTaP
ely recommended
Approach : ↑
2 2 Moderate
exacerbations/dyv
01
& I severe
exacub1 (admission)/Lyr .
No S
MR C
It E
grade of
dyspnea ?
0 -
1 ↳2
-
-
Cat A Cat B
↓
Any bronchodilator
LAMATLABA