BUZZWORDS Flashcards

1
Q

stony dull to percus

A

pleural effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ride sided pleuritic chest pain

A

most likely pneumoina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

alveolar bta einds, kerely b lines, cardiomegaly, dilated prominent upper lobe vessels pleural effusion

A

pulmonary oedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ground glass appearnace on xray

A

pulmonary fibrosis and resp distress syndrom of the new born

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ziehl neilson stani posiitve for acid fast bacilli

A

TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

caseous necrosis

A

TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

apical disease

A

mosy likely (secondary) TB, apical lesion is called assmann focus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

miliary tuberculous

A

spread of an organism into the blood stream, if organism is spread via pulmonary artery there is miliary dissemination into the lung, if organism spreads via pulmonary vein there is a systmic disseminaiton to the liver, spleen and kidneyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

positive anti-gloerular basement membrane antibodies

A

goodpastures syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

chest infection with parrot / pigeon as pet

A

caused by chlamydophila psittaci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

dry cough and diarhoea after holiday abroad, some indication of water spread

A

legionella pneumophila (test urine for antigens)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tall thin young man who indulges in marijuana

A

probably pneumothroax (marfans)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bilateral hilar lymphadenopathy, erythema nodusum, granulomas, fatigue, uveitis and weight loss

A

sarcoidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

bronchiole larger than neighbouring arteriole on CT

A

bronchictasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

d sign on x ray

A

empyema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

steeple sign on x ray

A

laryngotracheobronchitis/croup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

child with barking cough

A

croup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

pneumocystis pneumoina

A

HIV (treat with co-trmoxazole +- prednisolone is severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

asthma + nasal poyps + salicylate sensitivity

A

samters triad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

alcholic (danger of asiration pneummoina)

A

klebisella pneumoinae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

red jelly sputum

A

klebiella pneumoinae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

mucoid sputum

A

chalmydia psittaci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

rusty sputum

A

pneumococcal pneumoina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

cannonball metastases (also weight loss and haematuria)

A

classically from primary renal cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
morning headache
hypercapnia or side effects or organic nitrates
26
ACTH secreting lung tumour
small cell carcinoma of the lnug. small cell carcimoas are euroendocrine, highly malignant, and may be associated with ectopic endocrine syndromes
27
PTH seceting lung tumour
squamous cell cancer of lung
28
increased serum ACE and CA2+
sarcoid
29
eggshell calcification at hilar regions
silicosis
30
heart failure cells seen in alvoelar spaces
macrophages that have absorbed haemosiderin - found in chornic pulmonary oedema, and associated severe left ventricualar hearr failure - also seen in long standing pulmonary hypertension
31
ghon focus
an area of infection and acseous necrosis at the periphery of the lung. beneath the pleura - found in tuberculosis infection - ghon focus rupture (rare) through the visceral pleura nito the pleural cavity will produce tubercuous pleurisy
32
assmann focus
apical lesion of secondary tubercuous infection
33
coin lesoin found on chest radiography
a rounded solidary lesion the common lesion are primary bronchial or lung carcinoma. mestastatic tumous, bronchial hamartoma, carcinoid tumour, granulomatous infalmamtion, lung abcess
34
honers sydrome
can occur when ther eis a local spread of cancer to the intrathoracic nodes of a pancoast tumour signs inclyde ptosis (drooping of the eyelid), enopthalomus (sunken eye), miosis (small pupil), and lack of sweatng no the isilaeral (same side as invasion) side of the face this is due to invasion of the cervical sympathetic chain
35
acute management of asthma
``` OSHITMAN 0xygen 100% through a non-rebreather mask salbutamol nebulised back to back hydrocortisone IV or prednisolone PO ipratropium bromide nebulised hourly theophyline IV or aminophylline IV magneusium anaestetist ```
36
thumb print sign onxray
epiglottitis
37
inspiraotry whoop/barking cough
pertussis
38
snow storm appearnac eon xray
bartosis, silicosis
39
management of infective exacerbation of COPD
- iSOPD - ipratopium - salbutamo - oxygen - amoxicillin - prednisolone
40
non smoker + lung cancer
peripheral carcinoma
41
squamous + small cell lung cancer
central
42
high d dimers
pulmonary embolism
43
low d dimers
exclude pulmonery embolisms
44
large PE
thrombolysis
45
small PE
low molecular weight herapin
46
resp alkolosis
panic attack
47
frank pus on aspiration
empyema
48
obstructive lung disease - raised eosinophils
- asthma
49
obstructive lung disease - raised neutrophils
COPD
50
pickwickian disease eg obesity hypotentiltoin syndrome
obese people whose body fat is preventing air getting in causes sleep apnoea and hypercapnia (high . levels of carbon dioxide in the blood - oernight nasal ventilation
51
gullian barre disease
disease which causes paralysis normally preceded by a strep thoat / infection or resp or GI tract AKA polyneuritis (meaning rpaidy progressive, ascending motor euron parlysis, begunnin in the feet and ascending to other muslces)
52
coal workers pneumoconiosis
two types - simple coal workers pnemoconiosis (early form) and progressive fibrosis (later stages) problems fund at the apex of lung
53
adult resp distress syndrome
occurs when non-cardiogeic pulmonary oedema leads to acute respiratory failure. CXR shows bilateral alveolar shadowing
54
pulmonary oedema
CXR shows bats wings (peripheral shadowing), uppper lobe venous diversion, fluid in horizontal fissure, kerely B lines, (small horizontal lines in the periphery due to fluid in the interlobular septae and pleural effusions)
55
treatment of a pneumothroax
options are observation, needle, chest tube , inseriton and surgery
56
TLCO
how well oxygen can diffuse into the blood
57
treamtent of PE
if not immediately life threatening then anticoagulation therpay
58
type 1 diabetic presents with vomiting and not taking her insulin, dehydrated and deep laboured breathing
metabolic acidosis (diabetic ketoacidosis
59
AP x ray
anterior posteroi usually A porterabl
60
22 year old womna, weight loss, sputum night sweats, ender well defined nodules onshins bilaterally
erythema nodusum