4 Pulm

Question 1

massive hemoptysis

-consult whom after intubating

Answer 1

interventional radiology, for bronchial artery embolization

Question 2

pulse ox 85%

thinkwhat

Answer 2

methemoglobinemia

Question 3

L pleural effusion

-think what

R sided pleural effusion

-think what

Answer 3

unilateral: think pna, pe, cancer…

Left. Boerhaave’s, aortic dissection.

Right. CHF can cause R sided pleural effusion

Question 4

PNA +

1. sheep/cow
2. parrot
3. rodent excrement

Answer 4

1. Q fever
2. psittacosis
3. hantavirus

Question 5

PCP pneumonia

what abx and what side effects

when to give steroids

Answer 5

steroids if paO2<70

Bactrim (sulfa allergy)

dapsone (methemoblobinemia)

pentamidine (hypoglycemia)

Question 6

scrofula

Answer 6

lymphatic TB in neck “cold abscess”

Most common non-lung manifestation of TB

Question 7

CXR findings in PE (3 to know)

Answer 7

1. elevated hemidiaphragm (from volume loss)
2. Westermark’s sign: darker area on lung, collapsed blood vessels
3. hampton’s hump: wedged shaped opacity

Question 8

how to use capnography to dx asthma/COPD

Answer 8

looks like shark fin

Question 9

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

Answer 9

Relative bradycardia (temp-pulse dissociation)

assoc with certain infections

including Mycoplasma