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Year 2 Resp Exam 2 > Dyspnea, D Kinder, DSA > Flashcards

Dyspnea, D Kinder, DSA Flashcards

1
Q

What is a postinfectious cough

A

nonproductive and lasts for 3-8 weeks following upper respiratory infection

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2
Q

What test should be ordered fro chronic cough

A

CXR

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3
Q

What is a wheeze

A

continuous medical sound that lasts longer than 80-100 msec

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4
Q

what can cause extrathoracic obstructive lung pathology

A

vocal cord lesions

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5
Q

What are life threatening conditions of dyspnea

A

pulm edema, pulm embolism, acute airway obstruction, pneumo, pneumonia

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6
Q

what are causes of chronic dyspnea

A

COPD asthma, interstitial lung disease, HF, cardiomyopathy, GERD and other respiratory diseases or hyperventialation syndrome

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7
Q

What labs should you order for patieint with unexplained dyspnea

A

CXR, EKG, PFTs and exercise test with EKG, pulse Ox

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8
Q

What lab should you order if you suspect GERD for cause of dyspnea

A

modified barium eosphagogram or 24 esophageal pH monitoring

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9
Q

What is hemoptysis

A

expectoration of blood from lung parenchyma or airways

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10
Q

What is definition massive hemoptysis

A

expectoration of at least 600mL of blood in 24-48 hrs

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11
Q

What is pseudohemoptysis

A

blood from source other than lower respiratory tract

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12
Q

what can cause sputum to be red but not blood

A

Serratia marcescens- red pigment producing aerobiv gram - rod

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13
Q

What is frequent cause of massive hemoptysis

A

infections, bronchiectasis and lung abscess, cancer

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14
Q

iatrogenic causes of hemoptysis

A

rupture of a pulmonary artery after ballloon-guided flotation catheterization and tracheal artery fistula from tracheostomy

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15
Q

What is common cause nonmassie hemoptysis

A

bronchitis

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16
Q

population affected with idiopathic or central hemoptysis

A

age 30-50 male

17
Q

What test do you use to rule out sinusitis

A

sinus radiograph

18
Q

barium esophagography is used to Dx what

A

GERD and esophageal stricture

19
Q

bronchoscopy is used for Dx of what

A

endobronchial mass/lesion

20
Q

what upper airway diseases can ahve wheezing

A 
postnasal drip syndrome
epiglottis
vocal cord dysfunction syndrome
retropharyngeal abscess
laryngotracheal injury
neoplasms, anaphylaxis
21
Q

What lower airway diseases can cause wheezing

A

COPD, pulmonary edema, aspiration, pulmonary embolism, bronchiolitis, CF, carcinoid syndrome, bronchiectasis, lymphangitis carcinomatosis, parasitic infections

22
Q

What is a common infection to cause massive hemoptysis

A

aspergilloma

23
Q

What is level 1 testing for suspected chronic dyspnea

A

CBC, CMP, CXR, EKG, spirometry, Pulse Ox

24
Q

What is level 2 testing for suspected chronic dyspnea

A

echo, BNP, PFT, ABG, high res CT, cardiopulm exercise testing

25
Q

what is level 3 testing for suspected crhonic dyspnea

A 
ventilation perfusion V/Q scan
bronchoscopy
esophageal pH probe testing
lung biopsy
holter monitor
cardiac cath
26
Q

describe pattern of hemoptysis with bronchogenic carcinoma

A

small amounts occuring every day for weeks

27
Q

hemoptysis occuring over a period of months to years suggest what

A

bronchial adenoma or bronchiectasis

28
Q

Patient has upper airway disease, lower airway disease and renal disease
suspect what?

A

wegeners granulmoatosis

29
Q

pulsations transmitted to tracheostomy cannula heightens suspiciion for what

A

tracheal artery fistula

30
Q

best time to perfrom bronchoscopy with patient with hemoptysis

A

within 24 hr of bleeding

31
Q

typical findings with diffuse pulmonary hemorrhage after lavage

A

bright red or blood tinged lavage fluid from multiple loves in both lungs or substantial # hemosiderrin laden macrophages

32
Q

What are tests to order for suspected tracheobronchial disorders for hemoptysis

A

expectorated sputum for TB, parasites, fungi and cytology
bronchoscopy
broncography
High res CT

33
Q

what are tests for suspected localized parenchymal diseases for hemoptysis

A

expectorated sputumr for TB, parasites, fungi and cytology
Chest CT
lung biopsy

34
Q

What are tests for suspected diffuse parenchymal diseases for hemoptysis

A

expectorated sputum for cytology
blood for BUN, creatinine, ANA, RF,, Cā€™, cryoglobulines, ANCA and anti-GBM Ab
lung or kidney biopsy with sepcial stains

35
Q

what are tests for suspected CV disorders of hemoptysis

A

echo, ABG, VQ scans, pulm arteriogram

aortogram with contrast CT

36
Q

what are tests for suspected heme causes of hemoptysis

A

coagulation studies

bone marrow

Year 2 Resp Exam 2 (33 decks)

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