Buzz words: Respiratory Flashcards

1
Q
SOB on exertion
“Winter bronchitis”
Wheeze
Chronic productive cough
Inv: post-bronchodilator Spirometry
A

COPD

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2
Q

Inv: post-bronchodilator Spirometry

A

COPD

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3
Q
Fever
Chronic Cough
Weight loss
Asian
Lowenstein Jensen Medium
Red Ziehl-Nelson Stain
“Acid fast bacilli”
RIPE treatment
A

TB

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4
Q

Lowenstein Jensen Medium

A

TB

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5
Q

Red Ziehl-Nelson Stain

A

TB

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6
Q

“Acid fast bacilli”

A

TB

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7
Q

TB drug SE: orange tears

A

Rifampicin

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8
Q

TB drug SE: peripheral neuropathy

A

Isoniazid

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9
Q

Red-green colour blindness

A

Ethambutol

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10
Q
Steatorrhoea, diabetes
Clubbing, Signet rings
Recurrent Infections
Bronchiectasis
Sodium >60mmol
A

Cystic Fibrosis

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11
Q

Shipyard/power station worker
End-inspiratory crackles
Non-productive cough
Pleural effusion

A

Mesothelioma

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12
Q

Mouldy hay

A

Farmer’s lung (EAA)

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13
Q

Parakeets/Pigeons

A

Bird fancier’s lung (EAA)

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14
Q

Lung Ca:
Horner’s syndrome
Arm pain

A

Pancoast’s tumour

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15
Q

Lung Ca:
Hypercalcaemia (constipation, polyuria)
Ectopic PTHrP
Epithelial cells

A

Squamous cells carcinoma

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16
Q
Lung Ca:
Neuroendocrine symptoms
Paraneoplastic syndomes:
ACTH: cushing’s
ADH: SIADH
Anti-Ca ABs: Lambert Eaton
Mets early
A

Small cell carcinoma

17
Q

Lung Ca:
Goblet cell origin
NON-smoker, woman

A

Adenocarcinoma

18
Q

Lung Ca:
Goblet cell origin
NON-smoker, woman
Mets

A

Adenocarcinoma

19
Q
Fever, SOB, productive cough
Bronchial breath sounds
Coarse creps
Assess with CURB-65
CRP, urea, RR, BP, >65yo
IV clarithromycin, oral amoxicillin
A

Pneumonia

20
Q

Pneumonia:

rusty sputum, younger pt

A

S. pneumoniae

21
Q

Pneumonia:
small segmental
infiltrates, sinusitis, pharyngitis, laryngitis

A

Chlamydia pneumonia

22
Q

Pneumonia:
adolescents,
erythema nodosum, pericarditis,
haemolytic anaemia

A

Mycoplasma pneumoniae

23
Q

Pneumonia:

Abscesess

A

S. aureus

24
Q

Pneumonia:

purulent dark sputum

A

Klebsiella

25
Q

Pneumonia:
AIDS, widespread
infiltrates, low O2 sats

A

Pneumocytitis jiroveci

26
Q

Pneumonia:
legionnaire’s, low
Na, low albumin, air conditioning

A

legionnaire’s, low

Na, low albumin, air conditioning

27
Q

Pneumonia:
birds,
hepatosplnomegaly, conjunctivitis,
arthralgia, lower lobe consolidation

A

Chlamydophila psittaci

28
Q

Child coughing up blood

A

Inhaled foreign body

29
Q
Night cough
Intermittent wheeze
Eczema/hayfever (atopy)
Stepwise Treatment
Diurnal variation
A

Stable asthma

30
Q

Nocturnal cough

Diurnal variation

A

Stable asthma

31
Q

Nocturnal cough

Diurnal variation

A

Stable asthma

32
Q

Silent chest, apparent improving O2,
fatigue, bradycardia
IV magnesium sulphate, intubate

A

Life-threatening exacerbation of asthma

33
Q

60% O2 via facemask
Back-to-back nebs
Systemic steroids

A

severe exacerbation of asthma

34
Q

60% O2 via facemask
Back-to-back nebs
Systemic steroids

A

severe exacerbation of asthma