resp Flashcards
diagnosis of CF
pulmonary and GI tract manifestations
family hx
sweat test
sweat test findings?
CF
is it different in infants?
Cl concentration > 60 mmol/L confirms the diagnosis.
In infants, a Cl concentration > 30 mmol/L is highly suggestive of CF.
A minimum sweat-weight of 100 micrograms is also required.
bacteria associated with CF
staph aureus
pseudomonas
lung changes w CF
Right ventricular hypertrophy and cor pulmonale
right pulmonary artery dilatation
hyperinflation
bronchiectasis
hilar enlargement
what is second step in child asthma mangement?
inhaled corticosteroid (continue salbutamol)
steriod - beclomethasone 100 micrograms twice daily
if asthma symptoms persist with regular steroid what is next step?
monetlukast - leukotriene receptor antagonist
first line Mx in ED for acute asthma in child?
10 puffs salbutamol via spacer
single oral dose of pred
is an LTRA and LABA given simultaneously in asthma mangement ?
what is LABA medication?
no
replace LTRA with LABA if symptoms persist according to NICE
salmeterol
whooping cough mx?
macrolide abx
clarithromycin
causes of bronchiectasis
primary ciliary dyskinesia - autosomal recessive (cilia are either defective or have reduced efficacy)
youngs syndrome
yellow nail syndrome
what is bronchiectasis
how can it occur?
abnormal dilatation of the airways with associated destruction of bronchial tissue
- post infectious
- immunodeficiency : IgA, IgG deficiency
-PCD
- post obstructive ; foreign body aspiration
features of bronchiectasis
Purulent sputum expectoration
Chest pain
Wheeze
Breathlessness on exertion
Haemoptysis
Recurrent or persistent infections of the lower respiratory tract
examination findings?
finger clubbing
inspiratory crackles
wheeze
cxr bronchiectasis
gold standard imaging?
bronchial wall thickening / airway dilatation
CT scan
