pulm exam/misc Flashcards
bronchietasis,
paradoxical pulse
asthma, pericardial effusion
decreased tactile fremitus (4)
COPD, asthma, pneumothorax, pleural effusion
hyper-resonance to percussion (3)
emphysema, pneumothorax, and asthma
crackles (4)
pneumonia, CF, CHF, bronchitis
TLC
- in COPD
- in asthma
elevated in COPD and asthma
wheeze (3)
asthma, COPD, bronchitis
egophony
lobar pneumonia
pneumothorax (2)
hyper-resonance to percussion
decreased tactile fremitus
asthma (3)
hyper-resonance to percussion
decreased tactile fremitus
wheeze
bronchitis (2)
crackles and wheeze
pleural effusion
decreased tactile fremitus
CF and CHF
crackles
COPD (2)
decreased tactile fremitus and wheeze
bronchiectasis
describe pt history
years of chronic cough with purulent copius foul smelling green sputum, pleuritic CP, recurrent gm neg pneumonia
bronchiectasis PE and epidemiology
crackles and rhonchi, scattered wheezing
rare, history of childhood lung damage
bronchiectasis etiology
permanent bronchodilation
CF, cilia dysmotility syndromes, recurrent klebsiella or mycoplasma pneumonia, TB, pertussis, influenza
bronchiectasis dx
decreased FEV1, low ratio
chest CT shows tram track sign, do sputum culture
bronchiectasis tx
chest physiotherapy, steroids, expectorants, short acting beta agonists(albuterol)
for exacerbations: rotate antibiotics, surgical excision for local disease
years of chronic cough with purulent copius foul smelling green sputum, pleuritic CP, recurrent gm neg pneumonia
bronchiectasis
what bacterial pneumonias can lead to bronchiectasis
klebsiella and mycoplasma
