Breathlessness (week 3) Flashcards

1
Q

main risk factor of COPD

A

smoking!!!!!!!

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2
Q

what is breathlessness

A

uncomfortable need to breathe

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3
Q

what is pneumothorax

A

presence of air in pleural space (pressure leads to collapsed lung)

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4
Q

what could instantaneous onset of breathlessness be caused by (3)

A

pneumothorax, pulmonary embolus, acute allergy

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5
Q

what is pulmonary oedema?

A

fluid buildup in lungs

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6
Q

how do conditions affect breathing at rest/overnight?

A

asthma - commonly wakes patients
COPD - comfortable at rest
breathlessness lying down - heart failure

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7
Q

how do conditions affect every day breathing?

A

constant symptoms- COPD
variation - asthma

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8
Q

colour of sputum meanings?

A

clear - no current infection
yellow - acute lower respiratory tract infection/asthma
green - current infection
red/brown - pneumonia (pneumococcal)
pink - acute pulmonary odema

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9
Q

name for coughing up blood?

A

haemoptysis

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10
Q

what is stridor?

A

harsh grating respiratory sound.
caused by narrowed lumen of trachea/bronchi

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11
Q

what can angina-like pain be caused by?

A

pulmonary embolus

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12
Q

what is sharp stabbing pain caused by?

A

pleural pain due to:
pneumonia
pneumothorax
lung cancer

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13
Q

what is associated with musculoskeletal pain

A

tender when palpated, pain caused by respiratory movements or movements of spine/shoulder

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14
Q

weight loss causes?

A

lung cancer
chronic infective diseases (eg tuberculosis)
diseases causing chronic breathlessness (eg COPD)

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15
Q

what is COPD

A

persistent and progressive airflow limitation

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16
Q

presentation of COPD

A

breathlessness
cough
recurrent chest infections

17
Q

environmental risk factors for COPD

A

smoking
pollution
women L
asthma

17
Q

environmental risk factors for COPD

A

smoking
pollution
women L
asthma

18
Q

COPD investigations?

A

spirometry
chest x-ray

19
Q

what is tidal volume?

A

volume of exhaled air after normal inspiration

20
Q

what is vital capacity

A

total amount of air exhaled after maximal inhalation

21
Q

spirometry - FEV1 and FVC

A

FEV1 - forced expiratory volume in one second
FVC - forced vital capacity

22
Q

what would obstructive spirometry results show

A

lung volume reduced, slower exhale

23
Q

COPD treatment

A

STOP SMOKING!!
vaccinate against influenza, pneumococcus, COVID-19
Pulmonary rehabilitation (useful for breathlessness)
lose weight