4 Pulm Flashcards
massive hemoptysis
-consult whom after intubating
interventional radiology, for bronchial artery embolization
pulse ox 85%
thinkwhat
methemoglobinemia
L pleural effusion
-think what
R sided pleural effusion
-think what
unilateral: think pna, pe, cancer…
Left. Boerhaave’s, aortic dissection.
Right. CHF can cause R sided pleural effusion
PNA +
- sheep/cow
- parrot
- rodent excrement
- Q fever
- psittacosis
- hantavirus
PCP pneumonia
what abx and what side effects
when to give steroids
steroids if paO2<70
Bactrim (sulfa allergy)
dapsone (methemoblobinemia)
pentamidine (hypoglycemia)
scrofula
lymphatic TB in neck “cold abscess”
Most common non-lung manifestation of TB
CXR findings in PE (3 to know)
- elevated hemidiaphragm (from volume loss)
- Westermark’s sign: darker area on lung, collapsed blood vessels
- hampton’s hump: wedged shaped opacity
how to use capnography to dx asthma/COPD
looks like shark fin
ED pt with cough. Has fever but not tachycardic, think what
Relative bradycardia (temp-pulse dissociation)
assoc with certain infections
including Mycoplasma