Bronchiectasis and Chronic Lung Cancer Flashcards

1
Q
Differential Diagnosis:
Symptoms:
Shadow on CXR
• Weight loss
• Persistent sputum production
• Chest pain
• Increasing shortness of breath
A
Lung Cancer
– Not unreasonable
• Intrapulmonary abscess
• Empyema
• Bronchiectasis
• Cystic Fibrosis
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2
Q

Risk factors for developing Chronic Pulmonary Infection:: Abnormal response

A

Immunodeficiency

Immunosuppression

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3
Q

Risk factors for developing Chronic Pulmonary Infection: Abnormal innate host response

A

-Damaged bronchial
mucosa
– Abnormal cillia
– Abnormal secretions

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4
Q

Immunoglobulin deficiencies

A

IgA deficiency
Hypogammaglobulinaemia
CVID
Specific polysaccaride Antibody Deficiency

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5
Q

Immunodeficiency issues

A

Immunoglobulin deficiency
Hypo-splenism
Immune paresis
HIV

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6
Q

Forms of chronic infection

A
Intrapulmonary abscess
• Empyema
• Chronic Bronchial Sepsis
• Bronchiectasis
• Cystic Fibrosis and other oddities
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7
Q

Preceding illnesses: Pneumonia

A

Remember: ‘Flu -> Staph Pneumonia ->

Cavitating Pneumonia -> Abscess

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8
Q

Aspiration pneumonia

A

Vomiting
Lowered conscious level (alcohol)
Pharyngeal pouch

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9
Q

Empyema

A

Pus in the pleural space

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