Misc Flashcards
BO causes tx
Infection
Gord
Drugs non compliance
Hal mismatch
BO treatment
Treat cause
Tax and aza to MMf
Curschmann spirals
Mucus plugs
Eo asthma
Sulphur granules
Actinomycosis
Pleural fibroma
Raised GnRH
Raised bHCG
IGF2
HPOA
Gynaecomastia
Low BM
AVM
Abnormal communication PA and PV so RtoL shunt
AVM risk factor
HHT
aD
AVM CX
25% CVA
10% haemorrhage
Brain abscess
Haemothorax
Maternal death 1%
Phtn
Management AVM
Indication all seen refer embolisation
CI IR - pregnant, PH, renal impairment
Medical
O2 and bed rest
Venesection HCT more than 55 AND symptoms hyperviscosity
6m CT and ABG, aspirin, abx prophylaxis
Ocular TB
T cells eyes cross react MTB
Change VA
IGRA positive
RF TB
6m to 1y tx
Ethambutol to moxifloxacin
+- pred depends on opthalmology
Sarcoidosis stages
0 nil
1 BHL
2 BHL and parenchyma, change
3 just parenchyma change
4 fibrosis
Indication steroids sarcoid
Fatal
Organ dysfunction
QOL affected
DMARD sarcoid
MTX or AZA
Indication
Steroid not working
Not able to taper
CX steroid
Pt wishes
Hypoxia and flying
Indication
Sats less than 95% and
- Hx Hypercapnia with T2RF
- Copd mrc 3 and on 6wt Sats less than 84%
- severe asthma
- Ild with pao2 less than 9.4 or TLCO less than 50%
- severe chest wall deformity and fvc less than 1 or unable spiro 6wt
- NYHA 3/4 heart failure
- CF fev1 less than 50% and HCT less than 90% Sats
Perform hypoxia challenge
Pa02 less than 6.6 or Sats less than 85%
Then 2L or add 2L
VTE no fly 2w
Ptx 7 days post treatment and resolution
TB 2x smear negative or no info negative 2w or MDR 2 negative samples. Extrapulmonary no restriction
Pneumonia less than 94% then 7d
Don’t flu with flu mers mm chicken pox sars covid
Thoracic surgery 2w essential and otherwise 4w
OM for 2w
No air travel
Chemo
Resp failure
Untreated Ptx
Acute infection - TB mers sars covid
Bromchogenic cyst
Cerebral air embolus
More than 4L o2
VTE and flying
Ensure hydration
No etoh
Mobile
Compression
high risk then LMWH or DOAG
High risk
Previous VTE
Thrombophilia
6 weeks major surgery
Malignancy
Drugs
Tacrolimus or cyclosporine calcineurin inhibitor - inhibit il2 and ifn gamma
Aza purine synthase inhibitor
MMF in liver deplete t and b lymphocytes
Pred affects humoral and cellular preventing gene transcription
Sirolimus mTOR inhibitor
Cyclophosphamide causes cellular apoptosis
Aza - pro drug 6 mecaptopurine
Ritux anti CD20
Infliximab anti tnf
High o2 harmful
Co2 retainer
MI
Paraquat poisoning
Bleomycin injury
BMI lower target Sats
Over 40
Po2 less than 7
Sats ,ess than 85%
Live vaccine
MMR
BCG
Yellow fever
Oral polio
Oral typhoid
Immunoglobulin indication
Iss and vzv or measles
Hold AZT or MTX bloods
WCC less than 3
Plt less than 100
ALP or ALT more than 3x
TPMT percentage
Avoid if more than 0.3%
