Pulmonary Flashcards
What is Organic dust toxicity syndrome
From exposure to moldy decomposed hay and manure. Aerosol endotoxins are inhaled.
What is hypersensitivity pneumonitis. What can u see in the X-ray compared to organic dust toxicity syndrome
Specific to an individual. Can see micronodular or reticular opacity vs normal with ODTS.
What two work exposure can cause fever
- organic dust toxicity and metal fume fever caused by zinc which occurs only during workdays
What defines an exudate with pleural fluid
Pleural fluid/ serum protein ratio of >0.5
LDH ratio >0.6
Pleural fluid Ldh > 150
What are the causes of exudative pleural effusion
Carcinoma Mesothelioma PNA TB pancreatitis Esophageal rupture Collagen vascular disease ( RA, shorten syndrome) drugs,
Causes of Transudative effusion
Cirrhosis Nephritic syndrome Atelectasis Myxedema Urinothorax
What is Curb 65
To see if pt needs to be admitted for PNA C- confusion urea- BUN> 20 Resp rate>30 breath/ min Blood pressure < 90/60 Age> 65 yrs old Score 0-1 not need be admitted
What do you see in an X-ray w/ hypersensitivity pnuemonitis
Characteristic of Churg Strauss vasculitis
Interstitial lung disease
Transient patchy interstitial infiltrates fever weight loss elevated eosinophilia
What are the characteristic of Hantavirus
No Uri symptoms, GI symptoms fever, chills, myalgia and chest X-ray pulmonary edema
Spread by mouse
Symptoms Of coccidiomycosis
Valley fever. Lower respiratory symptoms thin wall cavitary lesion erythema nodosum and eosinophilia
