Pulmonary Flashcards

0
Q
  • normal baseline PFTs
  • Sx >2x/wk
  • nigh Sx >2x/mo
  • Tx: low dose ICS or LTI
A

Mild persistent asthma

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1
Q
  • asthma Sx <2x/wk
  • night Sx < 2x/mo
  • Tx: bronchodilator
A

Mild intermittent asthma

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2
Q
  • requires SABA >1x/wk

- Tx: low-med ICS/LABA

A

Moderate persistent asthma

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3
Q
  • unlabored breathing with intermittent non productive cough
  • expiratory wheeze best heard on the right side
  • sudden onset
  • insp/exp films
A

Foreign Body Aspiration

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4
Q
  • difference in blood pressure during inspiration and expiration
  • > 20 = pulm or heart problems
A

Pulsus paradoxus

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5
Q
  • loud, brassy, barking/honking that can be produced on command
  • disappears during sleep
A

Psychogenic cough

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6
Q
  • low serum Albumin, low Na, FTT, pseudomonas
  • sweat test 60mEq+ is diagnostic
  • rate in the general population 1/25
  • rate of a sibling being carrier 2/3
A

Cystic Fibrosis

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7
Q
  • ptosis

- proprioception, truncal ataxia and muscle sense are lost

A

Vitamin E deficiency

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8
Q
  • triglyceride levels >110
  • elevated lymphocyte ct
  • protein >3
A

Chylothorax

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9
Q
  • causes: cirrhosis, nephrotic syndrome, CHF

- TG level is low (<50)

A

Transudate

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10
Q

-permanent dilation of small segment of airway along with inflammation
-repeated LRTI
-cough worse with changes in position
Dx: CT chest

A

Bronchiectasis

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11
Q

-low grade fever and a cough x 1 mo
-rales usually at the bases
-CXR: hilar LAD
-Tx: 2 mos Rifampin, INH, Pyrazinamide
then 4 mos INH, Rifampin
OR 9 mos INH, and Rifamfin

A

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12
Q

Pulmonary TB

A

.

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13
Q

Meningitis
Adenitis
Pleuritis
Disseminates

-add streptomycin

A

Extrapulmonary TB

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14
Q
  • pulmonary edema: increased permeability of the alveolar capillary membranes
  • Xray: fine reticular infiltrate
A

ARDS

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15
Q

-initial mgmt of blunt chest wall trauma

A

physical exam

16
Q

-next best step to evaluate hemoptysis

A

pH of the emesis

17
Q

-best test to confirm the Dx of pneumonia

A

blood culture