Cough

Question 1

• for acute cough, do not forget to rule out—

Answer 1

PE and CHF exacerbation

Question 2

chronic causes of cough?

Answer 2

COPD/Asthma
ILDs
post-nasal drips
GERD
Infections (e.g., HIV, TB)
lung cancer
Meds (e.g, ACEi)
CHF
aspiration

Question 3

diagnostic criteria of acute respiratory distress syndrome (ARDS)?

Answer 3

acute onset, ratio of PaO2/FIO2 <200, bilateral infiltrates on CXR, pulmonary artery wedge pressure <18mmHg, no evidence of left atrial HTN

Question 4

distinguish uncomplicated pneumonia vs pneumonia complicated with ARDS?

Answer 4

Uncomplicated: systemic & pulm inflammation (fever, chills, fatigue, sputum, pleuritic chest pain), hypoxia should respond to O2 administration

Complicated with ARDS: hypoxia does not correct with O2 administration

Question 5

distinguish ARDS vs CHF

Answer 5

ARDS will not give signs of volume overload