Pulmonology Flashcards
Causes recurrent pneumonia and is associated with eye issues, ataxia and telengiectasia
Ataxia telengiectasia
What is elevated in ataxia telengiectasia
AFP
condition were b cells dont work well, seen in males and is associated with encapsulated organism infection ( s pnuemo, h flu and pseudommonas) tiny tonsils are seen and recurrent PNA
brutons x link agammaglobulinemia
defiecny of t cells and b cells, AOM in kids 3-6 months and recurrent viral infections ( HSV/VZV) causes recurrent PNA
SCID
sundrome where IgM will not change to IgG, neutropenia and lymphocytosis is seen
Hyper IgM
syndome where patient has recurrent Pna and abscess ( s aureus - boils) as well as pneumonia. pneumatocele can be seen on xray
Hyper IgE
shedding of primary teeth can be seen in what condition that causes recurrent PNA and abscesses
Hyper IgE ( Job syndrome)
hypercapnia can be cuased by what kind of overdose
opioid
pulmonary vascular congestion can be seen in what CHD condition
- transposition
- truncus
- TAPVR and left outflow obstruction -
patchy areas of diffuse atelectasis noted on neonatal CXR should make you think
meconium aspiration
meconium asporation syndrome is not going to happen before what GA
34 weeks because meconium is rarely passed at that time.
should you intubate meconium aspiration sydrome
only if there is severe RDS, usually suctioning is all that is needed
fluid in the horizontal fissure noted in a newborn with tachypnea should make you think of
TTN
what is the most common complication of meconium aspiration sydrome
pulmonary HTN
how does GBS PNA look on newborn XRAY
air bronchogram and ground glass findings similar to RDS but the ratio of bands to neutrophils is >0.2
how does bronchopulmonary dysplasia occure
barotrauma ( too much O2)
what does bronchopulmonary dysplasia look like in XRAY
cystic area with diffuse opacities on NB XRAY
what is the most common sxs to present in children with alpha 1 - antitrypsin def
hepatic manifestation ( pulmonary issues are more likely to occur in later decades)
what states are associated with histoplasmosis
Mississippi and HitOHIO
how do you get histo
spleunking and being around bat droppings in ohio or mississippi
physical exam that presents with stridor heard best at the anterior neck is due to
vocal cord dysfunction
explain why vocal cord paralysis can happen during difficult delivery
during stretching of the neck there can be damage to recurrent laryngeal nerve
blastomycosis is commonly associted with what kind of areas
wooded sites in central USA
what is seen on sputum culture of blastomycosis
broad based budding yeast
lymphocytic interstittial pneumonitis is commonly seen in kids with what kinf od condition
HIV
SMA places children at risk of what pul condition
aspiration PNA
patient with prlonged wet cough and no other symptoms usually has a dx of what
protracted bacterial bronchitis ( tx: 2-4 wks of augmentin)
what are the 2 common viral causes of steven Johnson syndrome?
mycoplasma and CMV
what is the most common cause of walking PNA
mycoplasma
why use fomoterol over salmoterol
faster onset of action potential
what are bronchogenic cyst caused by
abnormal budding of tracheal diverticulum 16 weeks in utero
what can broncogenic cyst cause
recurrent pNA, spontaneous pneumo and can become malignant
