Pulmonary Flashcards
Foul smelling unilateral discharge from nose
Foreign body
Choanal atresia is part of which syndromes
CHARGE, Treacher-Collins
Epistaxis in adolescents
Think drug abuse
Nasal polyps
Think CF
Most common cause of epistaxis
Nose picking
Glottic webs are seen in which syndrome
Velocardial facial syndrome (22q11 deletions)
CXR shows over inflation, air trapping, depressed diaphragm ipsilaterally with mediastinal shift and compression atelectasis of adjacent lobes
Congenital lobar emphysema
A mass of non functioning pulmonary tissue in which fetal lung tissue is segregated from main tracheobronchial tract, with blood supply from systemic arteries arising directly from aorta
Bronchopulmonary sequestration
CXR shows triangular density with displacement of bronchovascular markings
Extralobar sequestration
CXR with round water density mass or air trapping
Bronchogenic cyst
Infant presents with scaphoid abdomen, barrel chest, respiratory distress
Congenital diaphragmatic hernia
Werdnig Hoffman
SMA type 1
Black eschar on nasal turbinate in poorly controlled diabetic
Sinusitis caused by Mucormycosis
Presents like RSV
Human metapneumovirus
High fever, severe throat pain, trismus, hot potato voice, deviation of uvula to opposite side
Peritonsillar abscess
Causes majority of croup cases
Parainfluenza types 1 & 2
Tx for epiglottis
Ceftriaxone or cefotaxime
Staccato cough, nasal congestion, conjunctivitis in first week of life, wheezing. CXR with hyperinflation
Chlamydia
Organisms that causes pneumatoceles
Strep pyogenes, staph aureus
Seen in Mississippi and Ohio River valleys, hilar adenopathy
Histoplasmosis
Endemic to southwest
Coccidiomycosis
Central, southeast, or mid Atlantic states. Mass like infiltrates. Budding yeast
Blastomycosis
High IgE, asthmatic with fleeting infiltrates on CXR and cough productive of brown plugs
Allergic Bronchopulmonary Aspergillosis
Bullous myringitis and neurological changes
Mycoplasma pneumoniae
HPA axis suppression, osteoporosis, cataracts, hyperglycemia, weight gain, thinning of skin, striae, growth retardation
Adverse effects of steroid use
Asthma medication that requires serum monitoring, has drug-drug interactions, and causes GI symptoms and behavioral changes
Theophylline
Procedure to diagnose and tx foreign body aspiration
Rigid bronchoscopy
Pulmonary cause of meconium ileus
CF
Most common CF mutation
Delta F508 mutation on CFTR gene. Shows up on newborn screen as elevated immunoreactive trypsinogen
LIP (lymphocytic interstitial pneumonitis
Sjogren’s or HIV
Pulmonary HTN
Scleroderma
Congenital hypoventilation syndrome associated with Hirschsprungs Disease
Ondine’s Curse
Hemoptysis and nephritis
Goodpasture’s Syndrome
Hemosiderin laden macrophages on bronchalveolar lavage
Idiopathic pulmonary hemosiderosis
