PANCE Pulm round 2 8/13 Flashcards
when do you hear rales Inspiration or expiration
inspiration
when do you hear stridor Inspiration or expiration
inspiration or expiration
asthma triad
- dyspnea
- wheezing
- cough
what pulse ox with asthma is respiratory distress
< 90
what is the rescue medication for asthma
SABA (albuterol)
what cardiac medication may be given to severe asthmatics
IV mAG
when do you step down asthma medication
when it’s controlled for 3 months
what is pulses paradoxis associated with
pneumothortax
tanpanode
BP decreases with inspiration
pulses paradoxis
diarrhea due to increased serotonin
what is the cause
bronchial carcinoid tumor
what is the difference in size between a pulm nodule and mass
mass > 3 cm
location of squamous cell brochiogenic tumor
central
what is the cause of pancost syndrome
squmous cell bronchiogenic carcinoma
MCC HAP
psudomonas
2 MCC CAP
H influenza
CAP OP 2 CAP IP CAP ICU 2 HAP aspiration
- azithro OR Doxcy
- Levo
- Ceftriaxone + Levo
- Zozyn + Levo
- Clinda
what are three indications of severe asthma
- AMS
- Pulses paradoxis
- silent chest
salmeterol what class
salmeterol
ipratroprium what class
anticholinergic
who get O2 COPD 3
- cor pulmonale
- O2 < 88
- PAO2 < 55
what is the one medication proven to increase mortality with COPD
- O 2
what meds COPD FEV1
- > 80%
- 50 -80 %
- 30- 50%
- < 30%
- Saba + anticholinergic
- ” + LABA
- ” +” + steroid
- O2
what are the 2 MCC of bronchiectasis
- CF (psudomonas)
- H influenza
bronchiectasis DX
high resolution CT
“tram track” what pathology
bronchiectasis
what ion does CR affect
chloride
what is classic for sarcoid on CXR
bilateral hailar lymphadenopahy
Is sarcoid obstructive or restrictive
restricitive
Is CF obstructive or restrictive
obstetive
diminished skin sensitivity “cutaneous anergy” what pathology
sarcoid
what pathology kinda looks like roseasa but is associated with sarcoid
lupus perino
tender nodules that develop on the shin
- erythema nodosum
what is the CXR finding for IPF
- honeycombing
“shaggy heart sign”
asbestosis
what lobe for asbestosis
lower lobe
what lobe for coal workers lung
upper
mesothelioma tx
plurectomy
what causes transudative PE
- increased hydrostatic pressure
- decreased oncotic pressure
what is the tactile fremmtous with plural effution
decreased
what will you see on CXR for plural effuion
- blunting of the costophrenic angle
- “menisci sign”
associated with enterochromaffin cells
bronchial carcinoid tumor
where does brochogenic carcinoma met to 4
Brain
Bone
liver
lymph
what are two main types and 4 sub types of brochogenic carcinoma
non small cell (resection)
- andocarcimoma (peripherial) MC
- squamous cell (central)
- large (anaplastic)
- Small cell (oat cell) Chemo
what is cancoast syndrome
- shoulder pain
- horners syndrome
- antrophy of hand
due to SCC brochogenic carcinoma
when is the PERC useful (age)
< 50
what are the 4 grades of pulmonary 2 HTN
- idiopathic
- LHD
- COPD
- PE
2 MCC of CAP
H flu
what causes croup
para influenza virus
barking cough
croup
what lobe is the lingual lobe
LLL
