Dyspnoea Flashcards
1
Q
Becks triad
A
Low bp
Raised jvp
Muffled heart sound
Seen in tamponade
2
Q
Causes of acute breathlessness
A
Pe Pneumo Chf Tamponade Anaphylaxis Fb Exacerbation
3
Q
Asthma progression
A
Non progressive
Only on trigger
4
Q
Gradually provressive
A
Copd
Ild
Cardiac failure
5
Q
Nyha 4 grades
A
1- no sob on normal activities
2- sob on “”
3- sob on less than
4- on rest
6
Q
Mmrc 4 grades
A
0- strenous 1- uphill 2- walk slow than contemporaries 3' stop for taking breath 4- undressing / dressing
7
Q
Other
A
Sherwood jones 1- able tp do house hold work 2- able to do work around chair 3- totally confined to chair 4- moribund
8
Q
Mechanism of orthopnea in copd
A
Hyperinflated lungs-lie down- diaphragm pushes up- compromise in lung function
9
Q
Pnd time
A
2-3 hrs after sleep
Relieve- 30 min
10
Q
Mechanism of pnd
A
Sleep- sympathetic activity decreases
Pao2 decreased
Redistribution of blood in pv
11
Q
Platypnoea
A
On standing up La myxoma Pulmonary av fistula(hps) Pe Intra cardiac shunts
12
Q
Trepopnea and causes
A
On side
Effusion/ cardiac failure
13
Q
Hypopnea
A
Reduction on amplutude and duration of breathing
14
Q
Orthodeoxia
A
Desat on standing up more than 3%
15
Q
Hyperpnea
A
Increase in rate and depth of breathing
