Clinical Signs Flashcards

1
Q

What do small pupil, ptosis, enophthalmos and unilateral loss of sweating suggest?

A

Horner’s syndrome

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2
Q

What two granulomatous diseases does uveitis in the eyes suggest?

A

Sarcoidosis and TB

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3
Q

What are dilated retinal veins/papilloedma a cause of?

A

Chronically raised pCO2

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4
Q

What are choroidal tubercles found in?

A

Disseminated TB

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5
Q

What does cyanosis, raised JVP, pitting oedema, parasternal heave and loud P2 suggest?

A

Cor Pulmonale

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6
Q

What are 3 features of pectus excavatum?

A
  1. Pulmonary artery flow murmur
  2. Right lower lobe CXR changes mimicking pulmonary infiltrate
  3. Diminished basal lung volumes lead to diminished lung sounds
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7
Q

Which way does the trachea deviate in collapse, consolidation and effusion?

A

Collapse - towards
Consolidation - towards
Effusion - away

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8
Q

Two causes of hyeprresonance in respiratory?

A

Emphysema and pneumothorax

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9
Q

3 causes of imparied resonance in percussion?

A

Consolidation
Pleural thickening
Raised hemi-diaphragm

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10
Q

Stony dull to percuss?

A

Pleural effusion

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11
Q

What are the breathsounds like in effusion, collapse, bronchial obstruction and emphysema?

A

Reduced

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12
Q

What are normal breath sounds like?

A

Vesicular

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13
Q

What are transmitted breath sounds like?

A

Bronchial

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14
Q

What breathsounds are heard in pnejumonia and pulmonary fibrosis?

A

Bronchial

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15
Q

What condition are squeaks and crackles heard in?

A

Bronchiolitis

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16
Q

Fine late inspiratory crackles?

A

Pulmonary fibrosis

17
Q

Moderate/coarse crackles?

A

Pulmonary oedema, consolidation and bronchiectasis

18
Q

3 conditions pleural rub is heard in?

A

Pneumonia
PE
Viral or auto-immune pleurisy

19
Q

What is a pleural click heard in?

A

Pneumothorax

20
Q

What is vocal resonance like in effusion, collapse, bronchial occlusion, pneumothorax and emphysema?

A

Reduced

21
Q

What is vocal resonance increased with?

A

Pneumonia

22
Q

What causes the CO2 flap?

A

Hypercapnic encephalopathy