Katz - Respiratory Tract Imaging Flashcards

1
Q

Identify

A

Streptococcus pneumoniae

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2
Q

Identify

A

Staphylococcus aureus

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3
Q

Identify

A

Klebsiella Pneumonia

Bulging fissure sign

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4
Q

Identify

A

Aspiration pneumonia

When recumbent (alcoholic) aspiration usually occurs into the superior segments of the lower lobes or the posterior segment of the upper lobes.

Right side is more often effected.

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5
Q

Identify

A

Interstitial pneumonia

Viral pneumonia - Mycoplasms pneumoniae and Pneumocystic jiroveci (PCP - old name)

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6
Q

Identify

A

Mycoplasma Pneumonia

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7
Q

Identify

A

Cavitary pneumonia

Mycobacterium tuberculosis

Reactivation tuberculosis

Cavities in upper lobes, thin walled and no air-fluid level

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8
Q

Identify

A

Ghon lesion

Calcified tuberculous granuloma

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9
Q

Identify

A

Ranke complex

When associated with a calcified ipsilateral hilar node

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10
Q

Identify

A

Pneumothorax

Air enters the pleural space

Lung collapses

thin white line outlined by air on both sides

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11
Q

Identify

A

Upper Lobe Bullous emphysema

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12
Q

Identify

A

Scapula

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13
Q

Identify

A

Tension pneumothorax

Loss of air into the pleural space

May cause a shift of the heart and mediastinal structures away from the side of the pneumothorax

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14
Q

Identify

A

Right pneumothorax

Causes: spontaneous - rupture from bleb

Traumatic

Diseases that stiffen the lung

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15
Q

Identify

A

Spontaneous pneumothorax

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16
Q

Identify

A

RDS Pneumothorax

Respiratory Distress Syndrome

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17
Q

Identify

A

Trauma pneumothorax

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18
Q

Identify

A

Pneumomediastinum

Newborn

Presence of extraluminal gas within the mediastinum

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19
Q

Identify

A

Pneumopericardium

Adults - penetrating injury or surgery

Pediatrics - not related to penetrating injury; genetic

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20
Q

Identify

A

Subcutaneous Emphysema

Air expands into the soft tissue of the neck, chest and abdominal walls.

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21
Q

Identify

A

Pneumomediastinum with subcutaneous emphysema

Retrosternal chest pain and Hx of bronchial asthma

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22
Q

Identify

Which lobe?

A

Adenocarcinoma

LUL?

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23
Q

Distinguish between a nodule and a mass.

A

Nodule is usually less than 3 cm while a mass is greater than 3 cm.

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24
Q

Identify

A

Granuloma

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25
Identify
Cavitary Bronchogenic carcinoma Squamous cell CA (84 year old with chronic cough)
26
Identify
Adenocarcinoma Usually peripheral location Includes bronchoalveolar cell carcinoma
27
Identify
Squamous Cell Carcinoma Usually central location
28
Identify
Small Cell Carcinoma Usually central location (like Squamous)
29
Identify
Pancoast Tumor Horner Syndrome Meiosis Ptosis Anhydrosis
30
Identify
Adenocarcinoma of the lung with mets Hilar lymphadenopathy
31
Identify
Large right pleural effusion Malignant effusion
32
Identify
Metastatic Neoplasm of the lung Lymphangitic spread Unilateral
33
Identify
Metastatic Neoplasms of the Lung Hematogenous Multiple nodules Traveled through the bloodstream from distant primary site Ex) Colorectal, renal, breast
34
Identify
Anterior Compartment (note how anterior curves up) Middle Compartment Posterior Compartment
35
Identify
Substernal Thyroid Mass Only one that displaces the trachea
36
Identify
Lymphoma Multiple lobulated masses May be in other compartments
37
Identify
Thymoma Associated with Myasthenia Gravis
38
Identify
Teratoma Contains fat, cartilage and possibly bone on CT
39
Identify
Middle mediastinal lymphadenopathy Contains the heart, the origins of the great vessels, trachea, and main bronchi Most common mass in this compartment Middle Mediastinal Masses
40
Identify
Neurofibroma Tumors of Neural origin Posterior Mediastinal Mass
41
Identify
Lung Abscess Thick cavity wall Smooth inner margin Air Fluid level
42
Identify
Normal Endotracheal Tubes Tip should be 3-5 cm above carina Between clavicles and carin Carina at T4 Balloon should never extend tracheal walls
43
Where is the most common misplacement for an endotracheal tube?
Right mainstem bronchus Leads to atelectasis Can damage vocal chords or cause aspiration
44
Identify
Overinflated cuff on an Endotracheal Tube Balloon should never distend walls
45
Identify
High endotracheal tube Tip should be 3-5 cm above carina Between clavicles and carina Carina at T4
46
Identify
Tracheostomy Tip half-way between stoma and carina T3 Not affected by flexion or extension 2/3 width of trachea Long term : tracheal stenosis
47
Identify
Normal Central Venous Catheter Tip should be in SVC (malpositioned in RA or Int Jug) Subclavian joins brachiocephalic vein behind edial end of clavicle Catheter should reach this point before descending Catheter should descend lateral to spine
48
Identify
Central Venous Catheter Internal jugular malplacement
49
Identify
Central Venous Catheter Complication: Arterial placement - suggested by pulsatile flow
50
Identify
PICC line Right Atrial Malplacement Should be in SVC
51
Identify
Pulmonary Artery Catheter Swan-Ganz catheter Same appearance of central venous lines but longer 2cm from hilum Aid in differentiating cardiac from non-cardiac pulmonary edema
52
Identify
Abnormal Position of Swan-Ganz Tip too peripheral toward the right pulmonary artery Should lie within 2 cm of hilar shadow
53
Identify
Pleural drainage tubes Anterosuperior for pneumothorax Posteriorinferior for effusion \*None of the sideholes should lie outside the thoracic wall\*
54
Identify
Abnormal Pleural drainage tube Side hole outside thoracic wall
55
Identify
Correctly positioned pacemaker Tip positioned at apex of right ventricle Should have gentle curves
56
Identify
Fractured pacemaker lead
57
Identify
Nasogastric tube Should extend into the stomach and be at least 10 cm into the EG junctions
58
Identify
Feeding tube - should lie in region of duodenal bulb Ideally in duodenum
59
Where is the desired position of the ETT?
Tip 3-5 cm from carina
60
Where is the desired position of the Tracheostomy tube tip?
Half way between stoma and carina
61
Where is the desired position of the central venous catheter?
Tip in SVC
62
Where is the desired position of the PICC line?
Tip in SVC
63
Where is the desired position of the Swan-Ganz catheter?
Tip in proximal R or L pulmonary artery
64
Where is the desired position of the Pleural drainage tube?
Anterosuperior for PTX Posteriorinferior for effusion
65
Where is the desired position of the Pacemaker?
Tip at apex of r ventricle
66
Where is the desired position of the NG?
Tip in stomach