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Respiratory System Exam 1 > Clinical 4 - Pulmonary Diseases of Vascular Origin > Flashcards

Clinical 4 - Pulmonary Diseases of Vascular Origin Flashcards

1
Q

What is the most common originating spot for a pulmonary embolism?

A

DVT of lower extremities

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2
Q

What is commonly used to diagnose DVT?

A

Duplex ultrasonography

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3
Q

What are the clinical findings of PE?

A

Tachypnea, dyspnea, syncope, acute hypertension, wheezing, friction rubs

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4
Q

What is the gold standard for diagnosing PE?

A

Spiral CT

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5
Q

What 3 drugs can treat PE/DVT?

A

LMWH
UFH
Warfarin

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6
Q

What agents are used to treat massive cases of PE?

A

Thrombolytic agents

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7
Q

What are the diagnostic features of Wegeners granulomatosis?

A

Necrotizing granulmatous vasculitis

Glomerulonephritis

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8
Q

Name two important signs of Wegeners?

A

Nasal septal perforation

Ulceration of the vomer bone

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9
Q

What is the lab result diagnostic for Wegeners?

A

C-anca

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10
Q

How do you treat Wegeners?

A

Corticosteroids and cyclophosphamide

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11
Q

What are the diagnostic features of Churg-Strauss syndrome?

A

Increased levels of IgE and eosinophils

Refractory asthma

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12
Q

What are the clinical findings in Behcet disease?

A

Apthous orogenital ulcerations
Uveitis
Cutaneous nodules
Synovitis

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13
Q

What arteries are most common in Takayasu arteritis?

A

Aorta and major branches

Pulmonary artery is involved

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14
Q

What are the clinical presentations of mixed cryoglobulinemia?

A

Episodes of purpura
Arthralgia
Weakness
Multiorgan involvement

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15
Q

What are the complications of mixed cryoglobulinemia?

A

Glomerulonephritis and pulmonary insufficiency

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16
Q

What hypersensitivity reaction is involved in Goodpastures syndrome?

A

Type II

17
Q

What are the immunological findings of Goodpastures?

A

Anti-GBM antibody

Diffuse alveolar damage

18
Q

What are the classic features of Goodpastures?

A

Recurrent hemoptysis
Pulmonary insufficiency
Renal failure
Cresentric glomerulonephritis

19
Q

What arterial pressure is needed to diagnose pulmonary arterial hypertension?

A

Arterial pressure greater than 25 mmHg

20
Q

What are the symptoms of pulmonary arterial hypertension?

A

Increased RV systolic pressure

Right sided heart failure

Respiratory System Exam 1 (6 decks)

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