dumes resp Flashcards
A 4-year old is brought to A&E in the late evening by her parents. She has had viral respiratory symptoms for the past day and has now developed a barking cough and inspiratory stridor at rest.
dexa methasone and supportive care
what is dexamethasone
anti inflammatory agent - corticosteriod
In which space is pleural effusion first identifiable on a posteroanterior chest film?
Costodiaphragmatic recess
A patient on the stroke unit has a compromised swallow. They later develop aspiration pneumonia. Where is the aspirated bolus most likely to be found?
Right lower lobe
A 35-year-old obese female who had a surgery for breast cancer two weeks ago presents to the Emergency Department with severe pleuritic chest pain, shortness of breath and haemoptysis. On examination: BP is 80/50 mmHg, heart rate is 130 bpm, she is cyanotic, respiratory rate is 30 and ABG shows Type 1 respiratory failure.
Tenecteplase
A 65-year-old female presents with sudden onset shortness of breath and pleuritic chest pain. She has left-sided leg swelling. She has a history of a right-sided mastectomy for breast cancer five months ago. She has a BMI of 27. Observations: HR = 102bpm, BP = 110/75 mmHg, SaO2 = 89%, T = 37.7 ᵒC.
Low molecular weight heparin (LMWH) + warfarin
A 53-year-old man presents to his GP with breathlessness. He denies chest pain but has developed a cough over the past couple of months. He has had a couple of episodes of haemoptysis this week. His wife thinks his clothes look bigger on him. He has a 25 pack year smoking history. On a subsequent chest X-ray, a solitary right lung nodule is found adjacent to the right main bronchus.
Squamous cell carcinoma
A 75-year-old woman with lung cancer presents to A&E with breathlessness and palpitations. Her ECG shows atrial fibrillation. Two months ago, she was diagnosed with lung cancer.
Tumour invasion of which anatomical structure is likely to be causing this patient’s symptoms?
pleura and chest wall
