Pulmonary Flashcards
- normal baseline PFTs
- Sx >2x/wk
- nigh Sx >2x/mo
- Tx: low dose ICS or LTI
Mild persistent asthma
- asthma Sx <2x/wk
- night Sx < 2x/mo
- Tx: bronchodilator
Mild intermittent asthma
- requires SABA >1x/wk
- Tx: low-med ICS/LABA
Moderate persistent asthma
- unlabored breathing with intermittent non productive cough
- expiratory wheeze best heard on the right side
- sudden onset
- insp/exp films
Foreign Body Aspiration
- difference in blood pressure during inspiration and expiration
- > 20 = pulm or heart problems
Pulsus paradoxus
- loud, brassy, barking/honking that can be produced on command
- disappears during sleep
Psychogenic cough
- 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
Cystic Fibrosis
- ptosis
- proprioception, truncal ataxia and muscle sense are lost
Vitamin E deficiency
- triglyceride levels >110
- elevated lymphocyte ct
- protein >3
Chylothorax
- causes: cirrhosis, nephrotic syndrome, CHF
- TG level is low (<50)
Transudate
-permanent dilation of small segment of airway along with inflammation
-repeated LRTI
-cough worse with changes in position
Dx: CT chest
Bronchiectasis
-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
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Pulmonary TB
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Meningitis
Adenitis
Pleuritis
Disseminates
-add streptomycin
Extrapulmonary TB
- pulmonary edema: increased permeability of the alveolar capillary membranes
- Xray: fine reticular infiltrate
ARDS