Clinical Flashcards

1
Q

What causes orthopnea?

A

Increased venous return in recumbent position
- Rapid redistribution of central intravascular volume

  • Underlying cardiac decompensation or CHF
  • Pulm disease - increased secretions
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2
Q

What causes paroxysmal nocturnal dyspnea?

A

Increase central intravascular volume due to slow mobilization of fluids
- Edema

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3
Q

What causes hyperresonance on chest percussion?

A

Extra air in pleural cavity.

- Pneumothorax

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4
Q

What causes hyporesonance on chest percussion?

A

Fluid in pleural cavity or lung consolidation.

  • Pleural effusion
  • Hemothorax
  • Lung CA
  • TB
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5
Q

What causes decreased vocal/tactile fremitus?

A

Air or fluid in pleural space

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6
Q

What causes increased vocal/tactile fremitus?

A

Consolidation of lung tissue

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7
Q

What is inspiratory stridor?

What causes it?

A

Disproportionate difficulty with inspiration
High pitched prolonged gasping sound with inspiration

Upper airway obstruction

  • foreign bodies
  • edema (ex. with anaphylaxis)
  • tumour
  • stenosis
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