13 Cough/Shortness of Breath Flashcards
30yo M presents with shortness of breath, cough, and wheezing that worsens in cold air. He has had several such episodes in the past 4 months.
ASTHMA gerd bronchitis pneumonitis foreign bodies
cbc cxr peak flow measurement PFTs methacholine challenge test
56yo F presents with shortness of breath and a productive cough that has lasted for at least 3 months each year over the past 2 years. She is a heavy smoker.
COPD - CHRONIC BRONCHITIS
Bronchiectasis
lung cancer
tuberculosis
cbc sputum gram stain and culture cxr PFTs CT chest ppd
58yo M presents with 1 week of pleuritic chest pain, fever, chills, and cough with purulent yellow sputum. He is a heavy smoker with COPD.
PNEUMONIA COPD exacerbation (bronchitis) lung abscess lung cancer tuberculosis pericarditis
cbc sputum gram stain and culture cxr ct chest ecg ppd
25yo F presents with 2 weeks of nonproductive cough. Three weeks ago she had a sore throat and a runny nose.
ATYPICAL PNEUMONIA
reactive airway disease
URI-associated cough ("post infectious")
postnasal drip
gerd
cbc induced sputum gram stain and culture cxr IgM detection for mycoplasma pneumoniae urine legionella antigen
65yo M presents with worsening cough for the past 6 months accompanied by hemoptysis, dyspnea, weakness, and weight loss. He is a heavy smoker
LUNG CANCER tuberculosis lung abscess COPD vasculitis interstitial lung disease CHF
cbc sputum gram stain, culture and cytology cxr ct chest ppd ANCA bronchoscopy echocardiography
55yo M presents with increased dyspnea and sputum production for the past 3 days. He has COPD and stopped using his inhalers last week. He stopped smoking 2 days ago.
COPD EXACERBATION (BRONCHITIS) lung cancer pneumonia URI CHF
cbc cxr abg PFTs sputum gram stain and culture ct chest echocardiography
34yo F nurse presents with worsening cough of 6 weeks duration accompanied by weight loss, fatigue, night sweats, and fever. She has a history of contacts with tuberculosis patients at work
TUBERCULOSIS pneumonia lung abscess vasculitis lymphoma metastatic cancer HIV/AIDS sarcoidosis
cbc ppd/quantiferon gold sputum gram stain, acid fast stain, and culture cxr ct chest bronchoscopy HIV antibody lymph node biopsy
35yo M presents with shortness of breath and cough. He has had unprotected sex with multiple sexual partners and was recently exposed to a patient with active tuberculosis
TUBERCULOSIS pneumonia (including pneumocystis jiroveci) bronchitis asthma acute HIV infection CHF (cardiomyopathy)
cbc ppd/quantiferon gold sputum gram stain, acid fast stain, silver stain and culture cxr HIV antibody echocardiography
50yo M presents with a cough that is exacerbated by lying down at night and improved by propping up on 3 pillows. He also reports exertional dyspnea.
CHF cardiac valvular disease gerd pulmonary fibrosis COPD postnasal drip
cbc cxr ecg echocardiography PFTs BNP ct chest
60yo M presents with worsening dyspnea of 6 hours duration and a cough that is accompanied by pink, frothy sputum
PULMONARY EDEMA chf mitral valve stenosis arrhythmia asthma pneumonia
ecg cxr cbc abg PFTs BNP
