4 Pulm Flashcards

1
Q

massive hemoptysis

-consult whom after intubating

A

interventional radiology, for bronchial artery embolization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pulse ox 85%

thinkwhat

A

methemoglobinemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

L pleural effusion

-think what

R sided pleural effusion

-think what

A

unilateral: think pna, pe, cancer…

Left. Boerhaave’s, aortic dissection.

Right. CHF can cause R sided pleural effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PNA +

  1. sheep/cow
  2. parrot
  3. rodent excrement
A
  1. Q fever
  2. psittacosis
  3. hantavirus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PCP pneumonia

what abx and what side effects

when to give steroids

A

steroids if paO2<70

Bactrim (sulfa allergy)

dapsone (methemoblobinemia)

pentamidine (hypoglycemia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

scrofula

A

lymphatic TB in neck “cold abscess”

Most common non-lung manifestation of TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CXR findings in PE (3 to know)

A
  1. elevated hemidiaphragm (from volume loss)
  2. Westermark’s sign: darker area on lung, collapsed blood vessels
  3. hampton’s hump: wedged shaped opacity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how to use capnography to dx asthma/COPD

A

looks like shark fin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ED pt with cough. Has fever but not tachycardic, think what

A

Relative bradycardia (temp-pulse dissociation)

assoc with certain infections

including Mycoplasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly