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Medicine

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Respiratory

Question
4 out of 26
 

CURB – 65 score is used in pneumonia to assess? (AIIMS May 2010)



A Severity
B Complication

C Cause
D Effect of treatment

Ans. A

Severity

Core adverse features: 'CURB - 65' score:

1). Confusion:

2). Urea >7mmoI/L (7 x 2.8 = 19.6 mg%)

3). Respiratory rate > 30/min

4). BP <90 systolic and/or <60mmHg diastolic)

5). Age > 65

Score:

0-1 = home treatment possible 2 = Hospital Therapy 3 = Indicates severe pneumonia.

Extra Edge:

Other features increasing the risk of death are:

1). Co-existing disease (DM)

2). Bilateral multi lobar involvement

3). PaO2 <60 mmHg

4). Oxygen saturation <92%.

Management.

1). Antibiotics

2). Oxygen keep PaO2 >8.0 and/or saturation 0.92%.

3). IV fluids (anorexia, dehydration, shock).

Respiratory Flashcard List

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