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Resp Symptoms > Cough > Flashcards

Cough Flashcards

1
Q

Definition of cough

A

Forced expiration against closed glottis. Protective reflex

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2
Q

Cough reflex

A

Afferent - vagus nerve
Cough center- medulla
Efferent- intercostal and phrenic

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3
Q

Things to ask

A

Duration
Dry/ wet
Variation
Special character

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4
Q

Mechanism of cough
Ace- icatibant
Beta blockers
Amiodarone
Cancer drugs

A

Accumulation of bradykinin
Bronchospasm
Fibrosis
Fibrosis

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5
Q

Postural variTion

A

Gerd
Bronchiectasis
Abcess
Edema

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6
Q

Diurnal variation

A

Early morning- asthma , bronchiectasis , chronic bronchitis
Night- gerd , edema , tpe

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7
Q

Character
Epiglottitis
Bovine
Smokers
Ace inhibitors
Nagging cough
Pertussis
Laryngotracheobtonchitis

A

Barking
Carcinoma larynx. Rln palsy
Hacking cough
Dry brassy
Tef
Whooping
Croup

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8
Q

What is paroxysmal cough

A

Cough for more than one hour like in fb

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9
Q

Things to ask in sputum

A

Amount
Consistency
Colour
Smell
Blood

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10
Q

How do you measure sputum

A

Teaspoon 5ml
Table spoon 10ml
Teacup 200 ml

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11
Q

Bronchorrhea

A

1 litre
Seen in bac

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12
Q

Colour of sputum
Green
Red currant jelly
Rusty
Black
Yellow

A

Pseudomonas
Klebsiella
Streptococcus
Cwp , aspergillus, Smokers
Actinomycoses

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13
Q

Serous sputum-white
Mucoid- white
Mucopurulent- whitush yellow
Purulent

A

Bac
Asthma
Lrti

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14
Q

Smell of sputum
Foul - why?

A

Due to short chain fatty acid
Butyric acid

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15
Q

Common respiratory anaerobic organisms

A

Pepto streptococcus
Prevotella
Fusobacterium

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16
Q

Causes of acute couhg

A

Pe
Pneumothorax
Chf
Allergies
Exacerbation
FB.
PNEUMONIA
CHF

17
Q

Chronic cough causes

A

Ild
Tb
Copd
Cancer
GERD
PND
SMOKER
BRONCHIECTASIS
Uacs
Allergy

18
Q

Cough with wheeze

A

Copd.
Asthma
Fb
Cough variant asthma
Mass lesion pressing mediastinum
Cep
Churgstrauss
Resp bronchiolitis

19
Q

Mechanism of cough in pnd

A

Acute and chronic laryngitis and bronchitis due to pnd
Direct chemical and physical stimulation of cough receptors in the larynx and trachea

20
Q

Mechanism of cough in gerd

A

Vagal stimulation

21
Q

Causes of dry cough

A

Cough variant asthma
Atopic
Ace
Gerd
Eosinophilic bronchitis
Allergy
Ild
Tumors- both

22
Q

Atopic cough criteria

A

Dry cough for 3 weeks without wheeze
No resp to bd
Findings s/o atopic predisposition/ sputum eosinophilia
Relief woth antihistamines steroids

23
Q

Investigation

A

Stain
Cultures
Blood tests
Imaging - chest / sinus
Ag test
bronchoscopy
Feno 24hr ph
Psychological

24
Q

Causes of impaired cough

A

Muscle strength
Cw deformity
Tracheomalacia
Tracheostomy
Central depression

25
Q

Causes of cough

Airway
Parenchymal
Tumors
Fb
Middle ear pathology
Cvs
Drugs

A

Airway - asthma , copd , eosinophilic bronchitis, cough variant asthma , pnd
Paren- ild / emphysema / sarcoidosis

26
Q

Cough with hemoptysis

A

Malignancy, pe , tb. Abcess , pneumonia. Ectasis

27
Q

Nocturnal cough

A

Lvf
Ba
Aspiration
Pnd
Tpe

28
Q

Supine

A

Chf
Gerd
Post nasal drip
Ectasis
Acute bronchitis

29
Q

Dry cough

A

Pleura
Ild
Atypical pneumonia
Mediastinum

30
Q

Cough in tef

A

Spluttering

31
Q

Chronic bronchitis

A

More than 3 mknths for 2 years

32
Q

Cough variant asthma

A

8 weeks without wheezing
No h/o asthma
No uri in last 8 weeks
Inc Airway responsiveness
Response to bd
No Inc in cough sens
Normal chest xray

33
Q

Cough with wheeze

A

Asthma
Copd
Fb
Tumor compressing trachea
Cep
Churgstrauss
Resp bronchiolitis

34
Q

Wet

A

Tb
Infection
Fb
Bronchitis
Ectasis

35
Q

Dry

A

Cv astma
Eosiniphilic
Ace
Gerd
Allergy
Ild
Psychogenic
Tumor

36
Q

Atopic cough

A

Dry cough 3 weeks without wheeze
No bd responsiveness
Finding s/o atopy/ induced sputum eosiniphilia
Relief with anti histamines

Resp Symptoms (8 decks)

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