Buzzwords Flashcards
stony dull to percuss
pleural effusion
right sided pleuritic chest pain
most likely pneumonia
salbutamol side effect
tremor
Alveolar bat's wings B Kerley lines Cardiomegaly Dilated prominent upper lobe vessels Effusion pleural ABCDE
pulmonary oedema
ground-glass appearance on CXR
pulmonary fibrosis and ARDS of newborn
Ziehl-Neelsen stain positive for acid fast bacilli
TB
caseous necrosis
TB
apical disease
most likely TB
apical lesion is called Assmann focus
miliary TB
spread of organism to bloodstream
if via pulmonary artery then miliary dissemination into the lung occurs
if via pulmonary vein then systemic dissemination to the liver, spleen and kidneys
positive anti-glomerular basement membrane antibodies
Goodpasture’s syndrome
chest infection with parrot/pigeon as pet
caused by chlamydophila psittaci
dry cough and atypical chest signs, hyponatraemia and lymphopenia
legionella pneumonia
dry cough and diarrhoea after holiday abroad
legionella (test urine for antigens)
high fever, rapid onset and herpes labialis
streptococcus pneumoniae
history of HIV, dry cough, exercise-induced desaturations and the absence of chest signs
pneumocystis jiroveci
tall, thin male who smokes weed
pneumothorax
bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss
sarcoidosis
bronchiole wider than neighbouring arteriole so there is a signet ring appearance
bronchiectasis
bone marrow transplant
bronchiolitis obliterans
D sign on CXR
empyema
steeple sign on X ray
laryngotacheobronchitis/ croup
child with barking cough
croup
pneumocystis penumonia
HIV
treat with co-trimoxazole (and prednisolone if severe)
samter’s triad
asthma
nasal polyps
salicylate sensitivity
alcoholic with danger of aspiration pneumonia
Klebsiella pneumoniae
red jelly sputum
Klebsiella pneumoniae
mucoid sputum
chlamydia psittaci
rusty sputum
pneumococcal pneumonia
cannonball metastases with weight loss and haematuria
from primary renal cell carcinoma
morning headache
hypercapnia or side effects of organic nitrates
ACTH secreting lung tumour
small cell carcinoma of the lung
PTH secreting lung tumour and hyperthyroidism in history
squamous cell carcinoma of the lung
neuroendocrine, highly malignant, may be associated with ectopic endocrine syndromes
small cell carcinoma
aortic stenosis, dissection and coarctation
Turner’s syndrome
increased serum ACE and Ca2+
sarcoidosis
eggshell calcification at hilar region
silicosis
heart-failure cells in alveolar spaces
macrohpages that have absorbed haemosiderin
found in chronic pulmonary oedema and LVHF or long-standing pulmonary hypertension
Ghon focus
area of infection and caseous necrosis at lung periphery beneath pleura in TB
Assmann focus
apical legion of secondary TB infection
Coin lesion
could be: primary bronchial or lung carcinoma metastatic tumour bronchial hamartoma carcincoid tumour granulomatous inflammation lung abscess
ptosis, enpphthalmos (eyes_, miosis (pupil), lack of sweating on one side of face
Horner’s syndrome
thumbprint sign on head XR
epiglottitis
inspiratory whooping cough
pertussis
non-smoker and lung cancer
peripheral adenocarcinoma
squamous and small-cell lung cancers
central
high d-dimer
PE suspicion so send for CTPA
large PE
thromolysis
small PE
low molecular weight heparin
honeycomb lung
fibrosing alveolitis
Rifampicin side effect
TB DRUG - Orange coloured tears / urine
Isoniazid side effect
TB DRUG - Peripheral neuropathy / hepatitis
Ethambutol side effect
TB DRUG - Colour Blindness
Pyrazinamide side effect
TB DRUG - Gout
When does the larynx become the trachea and the pharynx become the oesophagus?
C6
Where do you auscultate the lung apex?
superior to the medial 1/3rd of the clavicle
Where do you auscultate the middle lobe?
between ribs 4 and 6
RIGHT
mid-clavicular line
mid-axillary line
Where do you auscultate the lung base?
scapular line at T11 level
What pathogen is most associated with acute epiglottitis?
Strep. progenes
What is the most sensitive test for TB?
culturing
What is the compensatory mechanism for metabolic acidosis?
Hypoventilation
What dye is used in Ziehl-Neelson for TB?
Carbol fuschin
What do glucocorticoids act on?
TH2
What is the normal pH of intrapleural fluid?
7.6
What type of person is Klebsiella not as associated with?
COPD sufferers
What can a PE do to the axis deviation on an ECG?
right axis deviation
What is the most common cause of infective endocaridits?
staph aureus