Pulmonary Flashcards

1
Q

Typical findings in pt with chronic bronchitis

A
lower O2 sat with central cyanosis ("blue bloater)
pulmonary HTN
right heart failure
peripheral edema
congestive hepatomegaly
elevated JVP
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2
Q

Sarcoidosis etiology, manifestations

A
  • unknown etiology
  • Targets the eyes, skin, heart, lungs, liver, kidneys
  • Causes lymphadenopathy and parotid gland enlargement
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3
Q

Sarcoidosis pulmonary involvement

A

-starts with bil. hilar enlargement the progresses to fibrosis and causes restrictive pulm abnormalitis

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4
Q

Restrictive pulmonary findings

A
-increased stiffness of the lungs:
hyperventilation, reduced O2 diffusion
*respiratory alkalosis, hypoxemia, and hypocapnea
-reduced total lung capacity
-decreased CO diffusing capacity 
-Normal FEV1 sec/FVC
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5
Q

CF cause and findings

A
  • autosomal recessive
  • viscous secretions of resp, GI, reproductive tracts
  • chronic bronchitis, hyperinflation, bronchiectasis, cor pulmonale
  • pancreatic insufficiency
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6
Q

CF common resp infectious agent

A

pseudomonas aeruginosa

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7
Q

Common causes of clubbing

A
lung cancer
cyanotic congenital heart dz
endocarditis
cystic fibrosis
bronchiectasis
lung abscess
hepatic cirrhosis
chron's dz
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8
Q

PaCO2

A
  • measures alveolar ventilation
  • hypoventilation causes hypercarbia –> resp acidosis
  • hyperventilation causes hypocarbia –> resp alkalosis
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