Airway/Resp dz SUMMARY

Question 1

Retropharyngeal Abscess

Answer 1

pus in retro space
sxs (S) to epiglotitis, croup
Neck x-ray, CT
Admit for surgery, abx

Question 2

Epiglottitis

Answer 2

infect of supraglott

TRIPOD posture, drool

Question 3

Croup

Answer 3

inflamm of subglott
(U) paraflu
seal bark, retractions
steroids

Question 4

Whooping Cough

Answer 4

EMERGENCY
b. pertussis
DPT vacc not complete
URI sxs (U) w/o fever
Parox cough, inspiratory stridor
Dx w/ swab
Pretreat exposed others

Question 5

Bronchiolitis

Answer 5

RSV caused bronch obstruction from edema/mucus,
tachypnea, retrations, wheeze (no stridor/bark),
CXR, viral swab/cx
Admit most,
B2, (P) ribavirin,
NO steriods

Question 6

Asthma

Answer 6

REVERSIBLE bronchospasm/mucus
Stacked SVN/bronchodial, (P) steroids, antichol
Make admit/discharge decision w/i 1 hr

Question 7

Status Asthmaticus is?

Answer 7

Acute asthma attack that doesn’t respond to tx

Question 8

COPD

Answer 8

bronchiole collapse, mucus plugging

tx (S) to asthma

Question 9

Emphysemia

Answer 9

loss of alveolar SA

tx (S) to asthma

Question 10

PNA

Answer 10

infect of lungs -> inflamm fills alveoli w/ pus -> no room for air,

pleuritic chest pain

CXR, blood gas/culture, CBC, sputum C&S

abx, B2, analgesics

Question 11

CHF/Pulmonary Edema

Answer 11

Sweating, tachys, rales/wheeze, JVD, hepatomeg, perph edema

tx: O2, Nitrates, B1 (inotropics), Morphine

Question 12

Pneumothorax

Answer 12

Perf of lung/chest wall -> air into cavity -> lung collapse

Chest pain on collapsed side, trach deviation, (P) cough

Question 13

Pneumothorax tx

Answer 13

< 20% involvement = observation, 48 hr repeat CXR

> 20% = needle decomp, aspiration, chest tube

Question 14

PE

Answer 14

Pulm A thrombi occlusion

(most C) dyspnea, pleuritic chest pain, cough

Question 15

PE diagnostics

Answer 15

R/O MI (ECG, enz, D-dimer)
CXR
chest CT
Vent/Perfusion scan (High result w/ risk factors = start tx for PE)