Class 5 - Respiratory 1 Flashcards

1
Q

Cystic fibrosis

A

Autosomal recessive exocrine gland disorder. Loss of pulmonary function and chronic bacterial airway infections

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2
Q

Exocrine glands

A

gland that makes substances such as sweat, tears, saliva, milk, and digestive juices, and releases them through a duct or opening to a body surface.

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3
Q

Cystic fibrosis incidence

A

White europeans - 1 in 25 are carriers.

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4
Q

Cystic fibrosis etiology

A

Autosomal recessive disease - chromosome 7

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5
Q

Cystic fibrosis pathogenesis

A

Accumulation of salt causing thick mucus (Na+/Cl- channels impaired), elevation of sweat electrolytes, insufficient pancreatic enzyme

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6
Q

Cystic fibrosis clinical manifestation of pancreas

A

Thick mucus blocks the pancreatic duct causing lack of pancreatic enzymes. Impaired digestion and eventual fibrosis

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7
Q

Cystic fibrosis clinical manifestation of GI

A

Meconium ileus causing constipation, rectum prolapse, intestinal obstruction, failure to thrive (growing slowly)

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8
Q

Cystic fibrosis clinical manifestation pulmonary

A

chronic pulmonary infection, clubbing, hypoxia, barrel chest, cyanosis, pectus carinatum, kyphosis

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9
Q

Cystic fibrosis clinical manifestation GU, musculoskeletal, endocrine

A

Infertility, muscle pain, decreased bone density, Cystic fibrosis-related diabetes

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10
Q

Cystic fibrosis diagnosis

A

Genetic testing, clinical presentation, sweat test, pancreatic enzyme test, pulmonary function test

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11
Q

Cystic fibrosis treatment

A

variable depending on symptoms, antibiotics, meds, chest pt, lung transplant, nutrition, supplements

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12
Q

Cystic fibrosis prognosis

A

Improving, median survival 37yrs

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13
Q

Bronchogenic Cyst

A

Formation of cyst behind manubrium, often asymptomatic. May have cough, pain, SOB

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14
Q

Extralobar Sequestration

A

Mass of lung tissue not connected to the bronchial tree, located outside visceral pleura. Supplied by abnormal artery. Congenital

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15
Q

Common cold

A

acute afebrile, self-limiting viral infection or URT. Aka infectious rhinitis

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16
Q

Common cold etiology

A

Rhinovirus (50%), Coronavirus, adenovirus, parainfluenza virus, other

17
Q

Common cold Clinical manifestation

A

scratchy throat, sneezing, rhinorrhea, nasal obstruction, sickness behavior, cough, fever

18
Q

Influenza

A

Flu. Viral respiratory infection, mortality possible during epidemics among high risk patients

19
Q

Influenza Etiology

A

Influenza virus, can be other viruses as well

20
Q

Influenza Risk factors

A

children, elderly, chronic disease, pregnancy, other disorders

21
Q

Influenza clinical manifestation

A

common cold, caryza (nose inflamed), conjunctivitis (pink eye), prostration (face down), in children - nauseous, vomiting, abdominal pain

22
Q

Influenza medical management

A

diagnosed by clinical evaluation, treat with antivirals, prognosis good

23
Q

Influenza complications

A

pneumonia, encephalitis, guillain-barre syndrome, renal disease

24
Q

Influenza prevention

A

handwashing, vaccination

25
Q

Sinusitis

A

Inflammation paranasal sinuses, classified as acute, subacute, recurrent, chronic

26
Q

Sinusitis etiology

A

viral, bacteria, fungal infection, recurrent allergies

27
Q

Sinusitis clinical manifestation

A

Variable, pressure, rhinorrhea (runny nose), nasal congestion, tenderness, toothache, headache, cough

28
Q

Sinusitis diagnosis

A

history/clinical evaluation

29
Q

Sinusitis treatment

A

drainage, antibiotics, surgery

30
Q

Acute Bronchitis

A

Inflamed trachea and bronchi that is short duration. From chemical irritations or viral infections

31
Q

Acute bronchitis clinical manifestation

A

URI, cold, fever, dry cough, sore throat, chest pain, laryngitis

32
Q

Acute bronchitis treatment

A
    • symptomatic, vaccination
33
Q

Acute bronchitis prognosis

A
  • usually good, complications like pneumonia