Deck 3 Flashcards
Fungus endemic to eastern/central part of US
Blastomyces dermatitidis
ARDS is associated with what physiologic change?
decreased pulmonary compliance
1st step in management of flail chest in the setting of respiratory failure
assist with positive pressure ventilation (PPV)
MCC of CAP in HIV infection with normal CD4 count
Strep pneumo
Signs of massive hemothorax
- flat neck veins
- decreased breath sounds
- tachypnea
- tracheal deviation to opposite side of trauma
In full thickness burns pt is at risk for:
thermal inhalation injury (causes upper airway obstruction)
PFT in bronchial asthma (how is FEV, FVC, DLco, TLC)
- FEV1 decreased
- FVC normal
- DLco increased
- TLC increased
underlying cause of PAH
hyperplasia of pulmonary vascular walls
Juvenile nasopharyngeal angiofibroma (JNA) signs
- pink nasal mass, recurrent epistaxis
- benign tumor exclusively in adolescent boys
What test to dx juvenile nasopharyngeal angiofibroma?
CT of head with contrast
Management of large hemothorax
Chest tube insertion in the 4th-5th intercostal space at the midaxillary line for drainage
Cardiac physio changes seen in pt with massive PE
- RV dilation due to increased pulmonary vasc. resistance
Ppx recommendations for family members of pt with Bordetella pertussis
- Oral azithromycin therapy for all contacts
- Tdap vaccine in members with unknown vaccine status
Theophylline toxicity s/s
- resting tremor
- headaches
- dizziness
- insomnia
- GI sx (nausea, vomiting, abd pain)
Bordetella pertussis increases risk for:
Pneumothorax
Erythema multiforme is mostly caused by which viruses
- HSV
- M. pneumoniae
Lung cancer positive to chromogranin A
bronchial carcinoid tumor
Alternative tx for OSA when refuses CPAP therapy
Oral appliances and positional therapy
Bronchial rupture signs:
- crunching sound synchronous with heartbeat
- crepitation on palpation (subcut. emphysema)
- decreased breath sounds
PFT of chronic bronchitis
- FEV1 decreased
- FEV/FVC ratio decreased
- DLco normal
- RV increased
Tx of apnea of prematurity
caffeine therapy
paraneoplastic syndrome assoc with lung adenocarcinoma
-Horner syndrome (miosis, ptosis and anhydrosis)
marker for Beta-D glucan is elevated in which lung infection?
P. jiroveccii
How to improve mortality in PCP infection with severe resp. distress (PaO2 < 70)?
normal tx of PCP (TMP/SMX) + prednisone
Long term complication of ARDS
Interstitial Lung Disease
correlation between procalcitonin levels and pneumonia
- low PCT levels = viral pneumonia
- high PCT levels = bacterial pneumonia
To confirm active TB which 3 tests are needed:
- acid-fast bacilli smear microscopy
- culture
- NAAT
Findings in CXR of pleural effusion
blunting of costophrenic angle
Risk factors for laryngeal squamous cell CA
- smoking
- alcohol consumption
latent TB therapy
isoniazid + rifapentine for 3 mo.
