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cardio and pulm > pulm exam/misc > Flashcards

pulm exam/misc Flashcards

bronchietasis,

1
Q

paradoxical pulse

A

asthma, pericardial effusion

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2
Q

decreased tactile fremitus (4)

A

COPD, asthma, pneumothorax, pleural effusion

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3
Q

hyper-resonance to percussion (3)

A

emphysema, pneumothorax, and asthma

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4
Q

crackles (4)

A

pneumonia, CF, CHF, bronchitis

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5
Q

TLC

  • in COPD
  • in asthma
A

elevated in COPD and asthma

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6
Q

wheeze (3)

A

asthma, COPD, bronchitis

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7
Q

egophony

A

lobar pneumonia

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8
Q

pneumothorax (2)

A

hyper-resonance to percussion

decreased tactile fremitus

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9
Q

asthma (3)

A

hyper-resonance to percussion
decreased tactile fremitus
wheeze

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10
Q

bronchitis (2)

A

crackles and wheeze

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11
Q

pleural effusion

A

decreased tactile fremitus

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12
Q

CF and CHF

A

crackles

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13
Q

COPD (2)

A

decreased tactile fremitus and wheeze

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14
Q

bronchiectasis

describe pt history

A

years of chronic cough with purulent copius foul smelling green sputum, pleuritic CP, recurrent gm neg pneumonia

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15
Q

bronchiectasis PE and epidemiology

A

crackles and rhonchi, scattered wheezing

rare, history of childhood lung damage

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16
Q

bronchiectasis etiology

A

permanent bronchodilation

CF, cilia dysmotility syndromes, recurrent klebsiella or mycoplasma pneumonia, TB, pertussis, influenza

17
Q

bronchiectasis dx

A

decreased FEV1, low ratio

chest CT shows tram track sign, do sputum culture

18
Q

bronchiectasis tx

A

chest physiotherapy, steroids, expectorants, short acting beta agonists(albuterol)

for exacerbations: rotate antibiotics, surgical excision for local disease

19
Q

years of chronic cough with purulent copius foul smelling green sputum, pleuritic CP, recurrent gm neg pneumonia

A

bronchiectasis

20
Q

what bacterial pneumonias can lead to bronchiectasis

A

klebsiella and mycoplasma

21
Q
A

cardio and pulm (22 decks)

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