Pathology - ADULTS Flashcards
1
Q
CYANOTIC (14)
A
- GB
- PE
- Emphysema/ CB
- Bronchiectasis
- ARDS
- PNA
- CF
- Chest trauma/Flail chest
- Pneumothorax
- Hemothorax
- Smoke/CO
- MI
- Shock
- Hypothermia
2
Q
ALOC (5)
A
- Drug Overdose
- Head trauma/ sx
- Neck trauma
- Hypothermia ‘confused’
- Drowning ‘confused’
3
Q
Pleural Friction Rub(2)
A
- Pulmonary HPTN
- PE
4
Q
Barrel Chest (3)
A
- Emphysema/ CB
- Bronchiectasis
- CF
5
Q
Productive Cough (3)
A
- Emphysema / CB
- Bronchiectasis
- PNA
6
Q
Peripheral Edema (6)
A
- CHF/ Pulm. Edema
- Pulm. HPTN
- Cor Pulmonale
- Late-stage CO
- CF
- Diabetes (Pedal)
7
Q
Tachypnea (15)
A
- Bronchiectasis
- CF
- Chest trauma/flail chest
- Pneumothorax
- Hemothorax
- Smoke/ CO
- CHF/ Pulm. edema
- Pulm HPTN
- MI
- ARDS
- PNA
- Shock
- Thoracic s/x
- Drowning
- PE
8
Q
PERCUSSION
Hyperresonnant / tympanic ‘air’ (6)
A
- Chest trauma/ flail chest
- Pneumothorax (affected side)
- Emphysema / CB
- Asthma
- Bronchiectasis
- CF
9
Q
PERCUSSION
Flat / Dull “fluid” (8)
A
- CHF / Pulm. Edema
- PNA
- ARDS
- Pneumothorax (affected side)
- Hemothorax (affected side)
- Bronchiectasis (only flat)
- Asthma (only flat)
- CF (only flat)
10
Q
Increased AP (3)
A
- Cor Pulmonale
- Emphysema/CB
- Asthma
11
Q
Increased Accessory Muscle Usage (4)
A
- Emphysema/ CB
- Asthma
- Bronchiectasis
- CF (on insp. & exp.)
12
Q
Dyspnea (5)
A
- Emphysema / CB
- Bronchiectasis
- CF (on exertion)
- Pulm. HPTN
- Cor Pulmonale
13
Q
Tachycardia (5)
A
- Asthma
- Pneumothorax
- ARDS
- PNA
- Drowning
14
Q
Cheynes Stokes Respiration (2)
A
- Stroke/CVA/CI
- Head trauma, sx
15
Q
Shallow Breathing (4)
A
- MG
- GB
- Sleep Apnea (Hypopnea)
- Chest trauma/flail chest
16
Q
Dyspnea (5)
A
- Emphysema / CB
- Bronchiectasis
- CF (on exertion)
- Pulm. HPTN
- Cor Pulmonale
17
Q
Pursed Lip Breathing (4)
A
- Emphysema / CB
- Asthma
- Bronchiectasis
- CF
18
Q
Pulsus Paradoxus (2)
A
- Asthma
- Pneumothorax
19
Q
CXR
Translucent ‘dark lung field’ (2)
A
- Asthma
- CF
20
Q
ABG
Hypoxemia (2)
A
- MI
- Shock
21
Q
Increased Tactile/ Vocal Fremitus (2)
A
- PNA
- CHF / Pulm. Edema
22
Q
Clubbing (3)
A
- Emphysema / CB
- Bronchiectasis
- CF
23
Q
CXR
Hyperlucency (3)
A
- Emphysema/ CB
- Bronchiectasis
- Pneumothorax
24
Q
BS
Crackles “fluid” (10)
A
- CF (x2)
- CHF/ Pulm Edema (x2)
- Pulm. HPTN (x2)
- MI
- PE (x2)
- MG (diminished - cant clear secretions)
- GB (diminished - cant clear secretions)
- ARDS (+ bronchial)
- PNA (+ bronchial, + whispered pectoriloquy)
- Drowning (+ rhonchi)
25
BS
Wheeze "air" (similar list to hyperresonnant) (7)
1. Emphysema / CB
2. Bronchiectasis
3. CF (x2)
4. Asthma
5. CHF/ Pulm. Edema (x2)
6. Pulm. HPTN (x2)
7. PE (x2)
26
ABG
Respiratory Acidosis 'low resp. drive' (7)
1. Emphysema/CB
2. MG
3. GB
4. Muscular Dystrophy
5. Hypothermia
6. Drowning
7. Sleep Apnea
27
ABG
Respiratory Alkosis 'more fluid problems' (3)
1. CHF / Pulm. Edema
2. Pulm. HPTN
3. PE
28
ABG
Acute Hyperventilation 'more accident/or infection related' (8)
1. Asthma
2. Bronchiectasis
3. CF
4. Chest trauma/flail chest
5. Pneumothorax
6. Hemothorax
7. Smoke/CO
8. PNA
29
PFT
Low flow 'FEV1, FEV1/FVC' (5)
1. Emphysema / CB
2. Asthma
3. Bronchiectasis
4. CF
5. Smoke / CO
30
PFT
Low volumes 'TLC, FRC, VC' (7)
1. Sleep Apnea
2. Chest trauma/flail chest
3. Smoke / CO
4. CHF/ Pulm. Edema
5. MG
6. GB
7. ARDS
31
TX
Oxygen therapy (23)
1. Emphysema / CB (low flow - target 88-92)
2. Asthma
3. Bronchiectasis
4. CF
5. Sleep Apnea (CPAP- OSA, NPPV - CSA)
6. Chest trauma/flail chest
7. Pneumothorax
8. Hemothorax
9. Smoke / CO (at 100%)
10. CHF / pulm edema (High flow: HFNC or NRB)
11. Arrythmias: PVC
12. Pulm HPTN
13. MI (100% O2)
14. PE (O2 for PaO2 > 80 torr)
15. Cor Pulmonale
16. MG
17. GB
18. ARDS
19. PNA
20. Head trauma / sx
21. Neck / spinal sx
22. Hypothermia
23. Drowning (100% O2)
32
TX
Aerosolized bronchodilator (SABA, LABA, LAMA, anticholinergic) (5)
1. Emphysema / CB
2. Asthma
3. Bronchiectasis (SABA, anticholinergic)
4. CF (bronchodilator + mucolytic + corticosteroid)
5. Smoke / CO (bronchodilator + mucolytic + corticosteroid)
33
TX
Antibiotics (5)
1. Emphysema / CB
2. Bronchiectasis
3. Cystic Fibrosis (tobi, colistin, amikacin)
4. Septic shock
5. Pneumonia
34
TX
Diuretics (4)
1. CHF / Pulm. Edema
2. Pulm. HPTN
3. Cor Pulmonale
4. Drowning
35
TX
Positive Inotropic Agents (6)
1. CHF/ Pulm. Edema 'digitalis, digoxin, dobutamine, dopamine'
2. Pulm. HPTN 'digitalis'
3. PE 'digitalis, digoxin'
4. Cor Pulmonale 'digitalis'
5. Drowning
6. Cardiogenic Shock 'digitalis, digoxin'
36
TX
Corticosteroid (4)
1. Emphysema/ CB (inhaled)
2. Asthma (oral OR IV)
3. CF (Advair, Flovent, Pulmicort)
4. Smoke/CO
37
TX
Bronchial Hygiene (8)
1. Emphysema / CB
2. Bronchiectasis
3. Chest trauma/flail chest
4. Smoke/CO
5. MG
6. GB
7. PNA
8. CF
38
TX
Hyperinflation Therapy 'IS/IPPB/SMI' (11)
1. Chest trauma/flail chest
2. Pneumothorax
3. Hemothorax
4. Smoke/CO
5. CHF / Pulm. Edema
6. MG
7. GB
8. ARDS
9. PNA
10. Abdominal sx (or pre/post all sx)
11. Thoracic sx (pre/post)
39
CHRONIC PATHOLOGIES
'1. Emphysema/ CB 2. Bronchiectasis 3.CF)
1. Cyanosis
2. Barrel Chest
3. Hyperresonnant
4. Increased Accessory Muscle Usage
5. Dyspnea
6. Clubbing
7. Pursed Lip Breathing
8. Wheeze
9. PFT (low flows)
10. Bronchial Hygiene
11. O2 therapy
12. Bronchodilators