Diagnose This Flashcards
Hemoptysis causes B/B P, esp w N T/F Pulmonary \_\_ N V_ including vasculitis, pulm AVM M\_\_ F\_\_ B\_\_\_
MS produces ___ due to high __ (varices) between Pulm __/__
bronchitis, bronchiectasis PNA, necrosis Tb/fungal embolis neoplasm vasc dz mitral stensosi foreign body broncholithiasis
bronchial hemorrhage
pressure connections, A/V
__ (The lung fluke), commonly causes __
location ___
_ vector, acquired via ingestion of raw/undercooked ___
adult will __ in lungs, producing parenchymal __, __, pleural ___
radiographic mimic of __
TPE due to __, causes __ like sx leading to ___
__ tb unlikely w neg __
__ infection presents a __ and has __ opacities
Paragonimiasis, hemoptysis
Far East
snail, shellfish
encyst, opacities, cavities, effusion, Tb
filiariasis, asthma, PHTN
cavitary, sputum smears
Stronglyoides, sepsis, bilateral
__ is common in IC people
think __/__ in our region w excavation
unlikely to produce prominent __ findings
Pet __ esp psittacine birds assc w ___
infection w __
birds do not carry __
Significant RF for crescent sign (mucor/aspergillus)
Fungal infection
histo/blasto
chest ausculatory
birds, psittacosis
Clamydophila psittaci
histo
neutropenia
fever, splenomegaly w anemia, mees lines should be ___
Acute chagas dz aka __
fever and __, should not cause __/__
__ may produce dysentery, abdomen is __
__ is a febrile condition w abnormal liver findings
__ lesion w an __ may indicate dz w ___
such as __/__/__/__
Malaria
SA trypanosomiasis
hepatosplenomegaly
anemia/Mees
Amoebiasis, tender
ameobic liver abscess
rounded lesion, air fluid level, lung necrosis
Tb, cavitary cancer, vasculitis, lung abscess
True cavities w thick walls indicates __ infect, __ cancer, ___
__ bullae w no true __
cysts/pneumatoceles are _
horizontal lines on chest xray indicates __, such as ___ exception is __
__ is risk for silica
upper lobe masses w diffuse infiltrate may be __/__/__
exposure to moldy grain is RF for __
Bakers/pastry chef at risk for __ due to __ ___ exposure
necrotic, cavitary, infarct
emphysematous, walls
thin walled
air fluid level, cancer, minor fissure
gold mining
silicosis, coal workers pneumocon, rare pneumocon
hypersensitivity pneumonitis
asthma, wheat weevil
___ is a more common yeast than __
slowly progressive infect in person w __ (such as __), think mycobacteria (ie __/__)
or dimorphic fungi __/__
saprophytic fungi __ (only hyphae)
Tertiary syphillis can produce ___ due to neuropathy
ILD, joint pain, Raynauds, MW, skin findings indicates __
such as __, __ or __ dematomysositis
histo, sporothrix
structural lung dz, emphysema
Tb, non-Tb
histo/sporothrix
aspergillus
Charcot joints
autoimmune cx
Scleroderma, MCTD, anti-synthetase variant
Classic S. pnenuo PNA- __ acq, __ PNA
high CD4 count in HIV makes __ less likely
Pneumocystis presents w __ and __ and ___
imaging shows __ lung involvement
look for __/__
auscultate w/out __ findings
__ is unusual in HIV
comm, lobar
opportunistic infect
fever, SOB, little cough
bilateral
pneumatoceles/PTX
consolidation
Aspergillosis
Uremic complications include E/S/H/V/P/P/P
__ is feared comp of vasculitis
RCC predisoses to __
atypical PNA includes __/__/__/__
YA in grouped quaters at risk for ___, look for __
___ may indicate mycoplasma
__ in elderly w comorbids/IC
look for exposure to ___
enceph, seizure, hyperK, volume overload, pericarditis, pericardial effusion/tamponade
coronary occlusion
pleural effusion/embolism
Mycoplasma, Chlamydophila, legionella, respiratory virus
adenovirus, conjunctivitis
Bullous myringitis
Legionella
aerosolized water
Constrictive pericarditis w inc __, clear ___, __ and + __ w __ on xray
comps of longstanding __
RA related PF should have __ on chest auscultation
A1AT lung dz leads to __ in lower lungs
__ def leads to recurent ___ infections, leading to __ and __ airway dz
look for __, __ and __
JVD, lungs, hepatomegaly, Rosenbach sign, pericardial calcifications
RA
inspiratory crackles
emphysema
Ig, bacterial sino-pulmonary, bronchiectasis/obstructive
sputum, rhonchi, imaging
__ is disorder due to antibody against __ of GBM
cross rx w __
lung finding is __ w diffuse alveolar __
no __
no __ or other involvement
Alveolar hemorrhage sx __/__
UA w __/__
imaging shows bilateral __ filling w GGO and __
path w diffuse __
GPA dx test w __, target antigen is __
AntiGBM dx test is __
Goodpastures, Type 4
alveolar basement membrane
capillaritis, hemorrhage
cavitary masses
upper airway
SOB/hemoptysis
red cells/casts
symmetric airspace filling, consolidation
capillaritis
cANCA, PR3
GBM antibody
DO w upper/lower resp tract disease
Infections T_, invasive __/__, __ H/N w lung spread
Immunodef/genetic w __ and __
C__, hypo__, hyper__
M__
Autoimmune/vasculitc
S, R, C, G
__ could produce upper airway infection/OM
lung abscess may __into pleural space producing __
TB, mcor/asper, anaerobic
rhinosinusitis, bronchiectasis
CF, hypogammaglobulinemia, hyperIgE
metastatic cancer
sarcoid, relapsing polychondritis, churg strauss, GPA
Tb
rupture, empyema
Hypogammaglobulinemia produces recurrent __, along w __ and __
__ leads to airflow obstruct
labs w low //_
__/__ can prodce cylindrical bronchiectasis
hyperIgE characterized w recurrent __ infections and high __
abnormaluty in __ signal transducer and activation of __
low __
characteristic __/__ teeth
infections, face pain/tooth tenderness
bronchiectasis
IgG, IgM, IgA
RA/Tb
Staph aureus, IgE
JAK, STAT3
IL17
facies/supernumery
Met cancer w upper/lower airway involvement
Primary is lung
mets to P/contra __/B/L/A/B
H/N cancer unlikely in __ or no hx of__
Sarcoid often involves __/__/__/__
unlikely to produce __ esp w __
Non necrotizing __
RP- inflam/destrxn of __
involves upper __, joints, __, N, E, H
does not produce __
pleura, lung, brain, liver, adrenal, bone
nonsmoker, smokeless tb
lung, LN, skin, liver
mass lesions, cavitation
granulomatous inflam
cartilage
tracheobronchial tree, ear, nose, eye, HV
mass lesions
__ is renal involvement of __
__ in urine, specific for __
Numerous lueks in urine w __ or __
CaOx crystals __, possible __ ingestion
Numerous tubular casts w cell debris in ___
lots of protein but otherwise bland w __, due to ___
Glomerulonephritis, GPA
RBC cast, GN
UTI, pyeloneph
renal stone, ethylene glycol
ATN
nephrotic synrome, MCD
GPA involves (ELK)
path shows __ inflam w/out __
test for __ due to __
Churg strauss syndrome all have \_\_ and \_\_ begins w \_\_ path shows \_\_ w prominent \_\_ less likely to involve \_\_\_ may be + for \_\_\_ may be antibody to \_\_ or \_\_
ENT, lung, kidney
necrotizing granulomatous, eosinophils
cANCA, PR3
asthma, blood eosinophilia allergic rhinitis granulomatous inflam, eosinophils kidney ANCA MPO or PR3
Tx GPA Tx similar to \_\_ Induction w \_\_ and \_\_ or \_\_ Maintain w \_\_ or \_\_ recurrence w \_\_\_
SE
risk of __
S
cyclo SE- __ suppression, C, __ cancer, M__ and ___
CS SE- D/O/A/C
cancer
CS+ rituximab, cyclophos
mtx/azathioprine
re-induction
opportunistic infect
sterility
bm, cystitis, bladder, myelodysplasia, leukemia
DM, osteo, avascular necrosis of bone, cataracts