* pulm PE and key words Flashcards

1
Q

whisper pectorioquy
1. nml
2. abn if…
3. increased in?

A

whisper 123
1. nml if you hear no sound
2. abn if the 123 is audible with stethoscope
3. increased in consolidation and atelectasis

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2
Q

bronchophony
1. nml
2. abn if…
3. increased in?

A

say 99
1. nml you hear a muffled sound.
2. abn if the 99 is clear and loud with stethoscope.
3. increased in consolidation and atelectasis

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3
Q

egophony
1. nml
2. abn if…
3. increased in?

A

say EEE
1. nml if you hear the EEE
2. abn if you hear AAA with stethscope
3. increased in pleural effusion, consolidation and atelectasis

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4
Q

tactile fremitus
1. nml
2. abn if…
3. increased in?

A

hand on pts back, say 99
1. nml if you have uniform vibrations over all lung fields
2. abn if it is dull or hyper-resonant
3. increased in?

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5
Q

percussion

A

tap finger on finger like a mallet

*abn if it is dull or hyper-resonant

hyper-resonant(air filled tissue): emphysema or pneumothorax

dull for denser tissue(solid or liquid): effusion, atelectasis, consolidation

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6
Q

infiltrates

A

pneumonia

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7
Q

honeycombing

A

fibrosis

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8
Q

pleural plaques

A

abestosis

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9
Q

pencil thin line

A

pneumothorax

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10
Q

tram tracking sign

A

bronchiectasis

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11
Q

peribronchial cuffing

A

bronchitis

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12
Q

apical

A

TB, pancoast tumor

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13
Q

hilar lymphadenopathy

A

sarcoidosis

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14
Q

granuloma

A

TB, sarcoidosis

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15
Q

cavitation

A

TB, abscess, cancer

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16
Q

tiny widespread nodules

A

military TB

17
Q

ground glass

A

atelectasis, hyaline membrane d/s, pulm fibrosis

18
Q

saccharopolyspora rectivirgula

A

farmers, cattle workers lung

19
Q

micropolyspora faeni

A

farmers, cattle workers lung

20
Q

thermophilic actinomycetes

A

gram positive bacteria; farmers, cattle workers lung;
ventilation workers lung

21
Q

mycobacterium avium complex

A

ventilation workers lung

22
Q

avian proteins

A

bird breeders lung

24
Q

graphium auerobasidium

A

sequoiosis, saw mill workers lung

25
mycobacterium immunogenium
metal workers lung (fluids)
26
actinomycetes
moldy spores
27
silophilus granaries
grain workers lung
28
diisocyanate
chemical workers lung (plastics, polyurethane)
29
acute hypersensitivity pneumonitis s/s and bx
occurs 4-8 hours after prolonged exposure: rapid onset fevers, chills, dyspnea, productive cough bx: micronodular interstitial involvement with poorly formed noncaesting granulomas; or may be normal
30
rapid onset fevers, chills, dyspnea, productive cough bx: micronodular interstitial involvement with poorly formed noncaesting granulomas; or may be normal and bx
acute hypersensitivity pneumonitis s/s
31
subacute hypersensitivity pneumonitis s/s cxr and bx
gradual development of dyspnea, productive cough, (usually no fevers or cough) cxr: micronodular opacities especially in lower lung fields bx: noncaesting granulomas (more organized than acute) may be fibrotic
32
chronic hypersensitivity pneumonitis s/s
slow onset of progressive dyspnea, wt loss, clubbing, tachypnea.
33
hypersensitivity pneumonitis PFT, cbc
restrictive component, decreases DLCO. leukocytosis with left shift.
34