Resp Flashcards
Chest infection with a parrot/pigeon as a pet
Chlamydophilia Psittaci
squamous and small cell lung cancers
central
asthma + nasal polyps + salicylate sensitivity
samters triad
rusty sputum
pneumococcal pneumonia
Tall thin young man who indulges in marijuana
Pneumothorax (thats why they call it the devils lettuce)
increased serum ACE and Calcium
sarcoidosis
alcoholic (danger of aspiration pneumonia)
Klebsiella Pneumoniae
Pneumocystis jiroveci/pneumocystis pneumonia
HIV (treat w/ co trimoxazole +/- prednisolone)
ACTH secreting tumour
small cell lung carcinoma
acute asthma management
oxygen salbutamol neb hydrocortisone ipratropium theophylline magnesium anaesthatist
ghon focus
area of infection and caseous necrosis at lung periphery, beneath the pleura-found in tb infection. Note: rare ghon focus rupture through visceral pleura into the pleural cavity will cause tuberculous pleurisy
Steeple sign on x ray
Laryngotracheobronchitis/croup
small cell carcinoma
neuroendocrine highly malignant ectopic endocrine syndromes
small pe
LMWH
mucoid sputum/pet bird
Chlamydia psittaci
horners syndrome
can occur when there is a local spread of cancer to intrathoracic nodes or a pancoasts tumour. Tumour invades cervical sympathetic chain
snow storm appearance on x ray
baritosis, silicosis
bronchiole wider than neighbouring arteriole on CT, signet ring sign
Bronchiectasis
bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss
Sarcoidosis
large pe
thrombolyse
Alveolar bat wings, kerley B lines, Cardiomegaly, Dilated upper lobe vessels, pleural Effusion
Pulmonary Oedema
right sided pleuritic chest pain
pneumonia
‘heart failure cells’ seen in alveolar spaces
macrophages that have absorbed haemosiderin-found in chronic pulmonary oedema and associated with LV heart failure. also seen in long standing pulmonary hypertension
coin lesion on CXR
can be primary lung tumour, metastasis, granuloma, lung abcess
red jelly sputum
klebsiella pneumonia
Dry cough and diarrhoea after holiday abroad
Legionella pneumophilia-test urine for antigens
Miliary TB
spread of organism to bloodstream. Spread by pulmoary artery to lungs or spread by pulmonary vein to rest of body
assman focus
apical lesion of secondary tuberculosis infection
thumbprint sign on x ray
epiglottitis
high d dimers
suspect PE, send for CTPA or V/Q scan
Apical disease
Most likely (secondary) TB-apical lesion is called an ASSMAN focus
horners syndrome signs
ptosis-eyelid drooping enophthalmos-sunken eye miosis-small pupil lack of sweating on ipsilateral side
D sign on x ray
Empyema
inspiratory whoop/barking cough
pertussis
non smoker w/ lung cancer
peripheral adenocarcinoma
Stony Dull to percuss
pleural effusion
PTH secreting tumour
squamous cell cancer of the lung
Eggshell calcification at hilar region
silicosis
morning headache
hypercapnia or side effects of organic nitrates
Ground glass appearance on X ray
Pulmonary Fibrosis and NRDS
Positive anti-glomerular basement membrane antibodies
Goodpastures syndrome
Caseous Necrosis
TB
child with barking cough
Croup
management of infective exacerbation of COPD
ipratropium salbutamol oxygen amoxicillin prednisolone
Ziehl-Neelsen stain positive for acid fast bacilli
TB
cannonball metastases (and weight loss and haematuria)
from primary renal cell carcinoma
