Pleural, Restrictive, Pnx Flashcards
(31 cards)
How do you know you have a pleural effusion?
Meniscus sign on CXR.+ SOB/Cough
What signs suggest Pleural Effusion?
Dull percussion, area above effusion gets wheezes and crackles.
How do you diagnose pleural effusion?
CXR - flat or meniscus (blunted costophrenic angle)
How do you treat a pleural effusion?
thoracentesis and antibiotics if needed
Transudative vs Exudative?
T = CHF, PE, Cirrhosis E = infection, Cancer
Isolated Rside pleural effusions are due to?
CHF
Isolated Lside pleural effusions are due to?
Aortic Dissection Boerhaave (ruptured esophagus)
R Lateral CXR will show what if it is T vs E effusions?
T = thin and follow gravity E = thick Empyema
A sudden onset of hypoxia and no breath sounds?
Pnx - One way valve into pleura.
Low BP and Hypoxia + increased pressure in the chest?
Tension Pnx - 2nd ICS, Mid clavicular line
Small Pnx treatment is?
02
Dry crackles =
Restrictive Lung Disease
3 main stiff/ Restrictive lung disease are?
IPF (Membranes), Sarcoidosis, Lupus
SOB +Erythema nodosum + clubbing is?
IPF
Pt with bilateral hilar adenopathy (hypercal, hyperAlk phose)?
Sarcoidosis.
ICS - Azathioprine and methotrexate.
What meds cause scarring lungs?
Amiodarone and Nitrofurantoin.
Tx for acute IPF
ICS
Lofgren is like acute…
Sarcoidosis
eggshells is?
Silicosis
↓ breath sounds + dull percussion + ↓ tactile fremitus is?
Pleural effusion
What is more common in a pleural effusion CHF vs PNA?
CHF
What is the most common cause of a massive pleural effusion (> 1.5–2 L)?
Malignancy
interstitial lung disease characterized by alveolar hemorrhage and glomerulonephritis
Goodpasture’s syndrome
collagen vascular disease - lower lobe fibrosis and pulmonary hypertension
Scleroderma
