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Physical Assessment > Chapter 11, Module 5; Cough > Flashcards

Chapter 11, Module 5; Cough Flashcards

1
Q

Acute-onset, low-grade fever, rhinorrhea, cough especially at night

A

Nasopharyngitis

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2
Q

Nasal mucosa red and swollen, pharynx mildly red; otherwise normal

A

Nasopharyngitis

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3
Q

Diagnostic test for Nasopharyngitis?

A

none

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4
Q

Worsening dyspnea, increased wheezing or coughing, smoker

A

COPD exacerbation

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5
Q

Purulent sputum, fever, and increased respiratory and heart rates

A

COPD exacerbation

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6
Q

Diagnostic test for COPD exacerbation?

A

Chest radiograph, spirometry

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7
Q

Persistent hacking cough; can have inspiratory whoop, vomiting

A

Pertussis

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8
Q

Fever absent, coryza

A

Pertussis

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9
Q

Diagnostic test for Pertussis?

A

Nasopharyngealaspirate abnormal, PCR abnormal, chestradiograph to ruleoutpneumonia

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10
Q

Noisy cough, dyspnea, pleuritic chest pain, sputum production (yellow, green, red color), chills; in children also see poor feeding and irritability

A

Pneumonia

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11
Q

Fever, tachycardia, tachypnea, inspiratory crackles, asynchronous breathing, tactile fremitus, percussion dull or flat over area of consolidation, bronchophony, egophony

A

Pneumonia

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12
Q

Diagnostic test for Pneumonia?

A

Chest radiograph, CBC, sputum and nasal cultures, 02 saturation, blood cultures

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13
Q

Cough, nasal congestion, sore throat, fever, chills, myalgias

A

Viral URI

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14
Q

Fever, pharyngitis, enlarged anterior cervical lymph nodes, normal TMs, nasal mucosa erythema, normal chest examination

A

Viral URI

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15
Q

Diagnostic test for Viral URI?

A

None.Rapid influenza testing during outbreaks

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16
Q

Child or young adult: dry cough, headache, malaise, sore throat

A

Mycoplasma pneumonia

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17
Q

Fever, rales and rhonchi on auscultation

A

Mycoplasma pneumonia

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18
Q

Diagnostic test for Mycoplasma pneumonia?

A

Cold agglutinin, chest radiograph

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19
Q

Paroxysmal staccato cough in infant age 4-12 wk

A

Chlamydial pneumonia

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20
Q

Afebrile, conjunctivitis in 50% of infants, tachypnea of 40-80 breaths/min, crackles, no wheezing

A

Chlamydial pneumonia

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21
Q

Diagnostic test for Chlamydial pneumonia?

A

Radiograph shows hyperexpansion of lungs with diffuse interstitial infiltrates

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22
Q

Grunting, sneezing, cough, anoxia, exposure to passive smoke

A

Bronchiolitis (RSV)

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23
Q

Fever,wheezingonauscultation,prolongedexpiratory phase,tachypnea of 60-80 breaths/min,tachycardia >200beats/min

A

Bronchiolitis (RSV)

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24
Q

Diagnostic test for Bronchiolitis (RSV)?

A

WBC 5000-24,000/mm3 with increased PMNs; chest radiograph shows hyperinflation; infants less than 2 mo, refer; progressive respiratory distress, refer

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25
Duration  <3  mo,  winter  months, URI  for  3-4  days;  loose, hacking  cough  that  becomes productive,  afebrile
Acute  bronchitis
26
Coarse,  fine  crackles  on  auscultation; low-grade  fever  or  afebrile
Acute  bronchitis
27
Diagnostic test for Acute bronchitis?
Chest  radiograph  shows normal  findings
28
History  of  URI;  brassy,  barking cough  usually  at  night
Croup  (acute laryngotracheo- bronchitis)
29
Low-grade  fever,  inspiratory  stridor, flaring  of  nares,  prolonged  expiratory  phase,  can  see  retraction  of accessory  muscles,  breath  sounds diminished
Croup  (acute laryngotracheo- bronchitis)
30
Diagnostic test for Croup  (acute laryngotracheo- bronchitis)?
None
31
Cough,  sore  throat
Postnasal drainage
32
Mucoid secretions in posterior pharynx, cobblestone  appearance of posterior pharynx, tenderness  to  palpation of sinuses, normal chest examination
Postnasal drainage
33
Diagnostic test for Postnasal drainage?
Sinus  radiographs,  sinus  CT scan,  allergy  testing
34
Dry,  hacking  cough,  especially  at night,  and  with  feeding  and laughter
Asthma
35
End-expiratory  wheeze,  prolonged expiratory  phase
Asthma
36
Diagnostic test for Asthma?
Pulmonary  function  testing, chest  x-ray,  02  saturation, bronchoprovocation, allergy  testing
37
Cough  worse  at  night,  sour  taste  in mouth,  heartburn,  history  of esophagitis,  cigarette  smoker, alcohol  abuse,  overweight;  in children  0-18  mo;  failure  to thrive,  dysphagia,  cough  after eating  and  lying  down,  vomiting
GERD
38
Normal  chest  examination, normal  upper  respiratory  tract examination,  possible  epigastric pain  with  palpation  or  normal abdominal  examination
GERD
39
Diagnostic test for GERD?
Esophageal  pH  monitoring, blood  count  for  anemia, radiograph  for  aspiration pneumonia;  endoscopy  if no  response  to  therapy; manometry
40
Cough,  mild  dyspnea,  history  of COPD,  history  of  cigarette smoking,  yellow  sputum
Chronic bronchitis
41
Hacking,  rasping  cough;  normal breath  sounds  or  rhonchi  that clear  with  coughing;  resonant to  dull  chest,  possible  barrel chest,  prolonged  expiration, possible  wheezing
Chronic bronchitis
42
Diagnostic test for Chronic bronchitis?
Chest  radiograph,  pulmonary function  tests
43
Begins  hours  to  months  after  starting  ACEI;  nonproductive,  dry cough;  scratching  sensation  in throat
ACEI-induced cough
44
Normal  examination
ACEI-induced cough
45
Diagnostic test for ACEI-induced cough?
Trial  of  ACEI
46
Cough  with  hemoptysis;  history  of cigarette  smoking,  weight  loss, shortness  of  breath
Bronchogenic carcinoma
47
Enlarged  supraclavicular  nodes, dull  chest  percussion  over tumor,  increased  breath  sounds distal  to  tumor
Bronchogenic carcinoma
48
Diagnostic test for Bronchogenic carcinoma
Chest  radiograph,  CT  scan  of chest
49
Failure  to  thrive,  chronic  cough, bulky  stools,  family  history
Cystic  fibrosis
50
Nasal  polyps,  clubbing  of fingernails,  sputum
Cystic  fibrosis
51
Diagnostic test for Cystic  fibrosis?
Sweat  test  abnormal  findings
52
Cough
Foreign  body in  ear  canal
53
Cerumen  in  ears,  hairs  in  contact with  TM  or  opposite  wall  of external  auditory  canal
Foreign  body in  ear  canal
54
Diagnostic test for Foreign  body in  ear  canal?
None
55
History  of  environmental  hazard, choking  episode
Foreign  body aspiration
56
Asymmetrical  physical  findings  of decreased  breath  sounds, wheezing
Foreign  body aspiration
57
Diagnostic test for Foreign  body aspiration?
Asymmetrical  radiograph with  forced  expiratory  view
58
History  of  sneezing,  cough
Allergic rhinitis
59
Allergic  shiners,  allergic  salute, rhinorrhea  clear  and  watery
Allergic rhinitis
60
Diagnostic test for Allergic rhinitis?
Chest  radiograph  negative, allergy  testing  positive
61
Rhinorrhea  >7-10  days
Chronic sinusitis
62
Mucopurulent  rhinorrhea
Chronic sinusitis
63
Diagnostic test for Chronic sinusitis?
Waters  radiograph
64
School-age  child,  gradual  onset, headache,  malaise,  sore  throat, hacking  cough
Mycoplasma pneumonia
65
Reddened  pharynx,  slightly  enlarged  lymph  nodes,  rales  often fine  and  crackling
Mycoplasma pneumonia
66
Diagnostic test for Mycoplasma pneumonia?
Radiograph  shows  interstitial pneumonia;  cold  agglutinins  present,  ESR  elevated,  CBC,  02  saturation, sputum  cultures,  blood cultures
67
History  of  exposure,  high-risk  group, weakness,  malaise,  weight  loss
Tuberculosis
68
Brassy  cough,  weight  loss,  can have  fever,  night  sweats
Tuberculosis
69
Diagnostic test for Tuberculosis?
Mantoux  test,  chest  radiograph  shows  abnormalities in  apical  and  hyaline, sputum  culture  positive for  M.  tuberculosis
70
History  of  smoking  or  being  around a  smoker
Smoking (passive/ active)
71
Yellow  teeth,  fingers;  odor  of smoke,  productive  sputum
Smoking (passive/ active)
72
Diagnostic test for Smoking (passive/ active)?
Radiograph  can  have abnormal  findings,  with interstitial  markings
73
School  age  or  adolescent;  dry, hacking  cough  present  only during  waking  hours
Psychogenic origin
74
Physical findings of Psychogenic origin?
none
75
Diagnostic test for Psychogenic origin?
As  indicated  to  rule  out  other causes

Physical Assessment (27 decks)

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