Pulm Flashcards
shaggy heart sign
asbestosis
silhouette sign
pneumonia
(but probably other consolidation diseases, too)
MC viral pneumonia in adults?
influenza
barking cough
croup
(+ pertussis)
steeple sign
croup
caseating granulomas on bx
TB
cbc shows severe leukocytosis
HS pneumonia
ground glass opacities
sarcoidosis
IPF
IRDS
meniscus on lateral decubitus CXR
pleural effusion
resp acidosis diseases
emphysema
end of PE
pink/purple well vascularized tumor
carcinoid tumor
drug s/e is hyperuricemia (gout) and hepatitis
pyrazinamide
CFTR gene
CF
MC cause of acute bronchitis?
adenovirus
pneumo culture - foul
anaerobes
drug s/e involving eyes
etambutol
white-out on CXR except for costophrenic angles
ARDS
tram track markings on CT
bronchiectasis
companion lines or visceral lines
pneumothorax
v/q mismatch
high profusion
shunt
MC cause of hosp acquired pneumo
pseudomonas (in ICU)
s aureus and klebsiella also common
dx by nasal swab?
bronchiolitis
pertussis
increased ACE
sarcoidosis (secreted by granulomas)
pleuritic chest pain
pleural effusion
TB
pneumonia
PE
BMPR2 gene
idiopathic (primary) pulm htn
pleural plaques
asbestosis
nodules in upper lungs with hyperinflation of lower lungs
CWP
MC cause of bronchiolitis?
RSV
sweat chloride test >60mmol
CF
multiorgan failure
ARDS
(if non-acute consider sarcoidosis or CF)
MC bacteria in bronchiectasis?
H inf
respiratory alkylosis
asthma
emphysema
beginning of PE
CA that occurs in those under 60y
carcinoid tumor
drug s/e is orange secretions
rifampin
nighttime cough
asthma
pertussis
eggshell calcifications
silicosis
MC cause of epiglottitis?
H inf B
constitutional sx with N/V/D
atypical pneumonia
MC causes of ARDS
sepsis*
trauma
FB aspiration
clubbing
IPF
emphysema
bronchiectasis
CF
frothy, blood-tinged sputum
ARDS
acid fast bacilli smear
or + PPD
TB
v/q mismatch
high ventilation
dead space
CA that you can’t excise
small cell
“crackles at bases”
bronchiectasis
IPF
enlarged R heart border
chronic bronchitis
pulmonary HTN
cor pulmonale
ascites
periph edema
inc JVP
cor pulmonale
pulm HTN
Why would you order a pulmonary capillary wedge pressure test?
to differentiate pulmonary HTN from ARDS
( < 18 is ARDS and > 18 is pulm HTN )
Hampton’s hump or Westermark’s sign
PE (wedges on CXR)
Hampton’s - white
Westermarks - black
altered mental status
cor pulmonale
elderly w/ pneumonia or other infection
pneumo culture - blood tinged
S pneumo
hypoxemia does not respond to 100% O2
ARDS
pneumo culture - green
H inf
pseudomonas
rigors
typical pneumonia
pneumo culture - currant jelly
klebsiella
silent chest
filled with air!
severe asthma
emphysema
dome diaphragm
IRDS
bx shows unorganized NCGs
acute HS pneumonitis
MC cause of croup?
PIV
flattened diaphragm
bullae
blebs
emphysema
massive hemoptysis
bronchiectasis
MC cause of atypical pneumo
mycoplasma
MC cause of typical pnuemonia
s pneumo
CA in non smoking females
adenocarcinoma
MC cause of pneumonia in kids < 1y
RSV
merconeum ileum (inability to pass 1st stool)
CF
tx is cool, humified air
croup
bronchiolitis
CA that mets early
large cell
small cell
foul sputum
bronchiectasis
MC cause of FB aspiration
vomit
drug s/e is peripheral neuropathy, hepatitis
INH
located centrally
squamous - large bronchioles
small cell
(large cell - can be either central or periph)
bilat hilar lymphadenopathy
sarcoidosis
berylliosis
rapid growing CA
large cell
small cell
honeycombing
IPF*
asbestosis
positive Homan’s test
PE
admit if O2 is < 96%
bronchiolitis
lupus pernio, erythema nodosa, maculopap rash
+ other pulm and extrapulmonary sx
sarcoidosis
bx shows organized NCGs
subactue/chronic HS pneumonitis
sarcoidosis
