Obstructive Disorders Flashcards
Obstructive Disorder PFT results
Increased lung volumes with decreased FEV1/FVC
Different conditions that correspond with obstructive
Asthma
Bronchiectasis
COPD
Cystic Fibrosis
Hyperirritability of bronchial tree leading to airway inflammation and bronchoconstriction
asthma
Samters Triad
- Asthma
- NSAID/aspirin allergy
- nasal polyps
Physical exam of someone with asthma
Decreased breath sounds, hyperresonance to percussion, and expiratory wheezing
Management of acute asthma exacerbation
First line drug?
SABA-Albuterol, Tertbutaline given every 20 mins x 3 doses
SE: tachycardia, hypkalemia
Treatment for mild persistent asthma
- SABA
2. Low dose ICS
Moderate persistent asthma
- Low ICS+ LABA
Irreversible airway obstruction
COPD
Most important risk factor for development of COPD
Smoking
Chronic bronchitis definition
Productive cough for more than 3 months x 2 consectuive years
Physical exam for person with emphysema
hyperresonance to percussion, pursed lips, barrel chest, tripod
COPD can cause what cardiac effect
Cor pulmonales secondary to pulmonary HTN
chronic cough with thick, mucopurulent, foul smelling sputum with hemoptysis. What do you order?
High resolution CT scan
What does CT scan for bronchiectasis show?
Tram track appearance