Cases- COPD/Acute Respiratory Disease (3)-Leah Flashcards
Cause of severe hemoptysis? (2)
What else would be assc?
- good pastures
- vasculidities
Would also see hematuria
What does airway inflammation cause on CXR?
What would cause severe acute diffuse inflammation?
- infiltrate (may look like diffuse pneumonia)
- a bunch of blood! i.e. pulmonary hemorrhage
- -or pneumonia.
Expiratory phase prolongation means?
Obstructive disease
Rhonchi mean?
Secretions in the airway
O2 sat threshold:
When do you worry?
Sats under 90.
Wheezing means?
Change in airway shape (shrinking)
What helps obstructive disease? (Meds)
- bronchodilators
- steroids
How might cancer cause severe dyspnea?
What PE findings would be assc? (2)
Pleural effusion
–> hyporesonance at the base of the lungs
Also a big cancer eating into a vessel = pulmonary hemorrhage
Most Common cause of COPD exacerbation?
Viral illness
When is the risk of mechanical ventilation high?
pH 7.2 or less
Increased AP diameter is suggestive of?
Obstructive disease
Poor air movement out of the lung
Most common cause hyperinflated lungs on CXR?
Just for funsies: “widened AP diameter because of BIG MEDIASTINUM” is Pathonogmonic for?
COPD
“Widened mediastinum” = ANTHRAX!!!!!!!!!
Pure asthma patient with respiratory acidosis:
What does this mean?
BAD. THEY GONNA DIE.
Actually, respiratory failure. But that’s basically dying.
High fever + body aches = assume
Influenza
How do you diagnose SIRS?
Vitals!!!!
Temp, HR, RR, BP
