Resp Flashcards
Resp causes of clubbing
Bronchiectasis (CF as well0 Lung cancer TB IPF Empyema lung abscess
Causes of bibasal crackles
Pulm oedema
Pneumonia
Bronchiectasis
IPF
Vocal resonance
Effusoin= decrese Consolidation= increase
What does a normal CO2 in a sick asthmatic suggest
Bad if normal or high, as they’re normally hyperventilating. Suggests they are failing to keep up
Moderate, severe, life-threatening and near-fatal asthma
see resp
Primary pneumothorax treatment
under 2, discharge and repeat CXR
over 2; aspirate and if unsuccessful then chest drain
Secondary pneumothorax treatment
Under 2 then aspirate
Over 2 then chest drain
Causes of cavitating lesions
TB, s.aureus, klebsiella
Wegner’s, rheumatoid arthritis
PE
malignancy
Golden S sign
RUL collapse
When do you give oxygen in COPD
pao2 under 7.3 despite maximal treatment
pao2 7.3-9 and one of; pulmonary hypertension, polycythemia, peripheral oedema or nocturnal hypoxia
terminally ill patients
COPD investigations
See resp
Asthma chronic treatment
BTS
Ix for ILD
blood, abg, BIOPSY (gold standard)
CXR
high-resolution CT (usually appropriate)
lung function (restrictive)
Silicosis
ILD
pneumoconiosis
decreased breath sounds
coal worker
CAP organsims
Strep pneumoniae
Haemophilus influenzae B
Moraxella catarrhalis
HAP
S. aureus (cavitating lesion)
Pseudomonas aeriginosa
Klebsiella (cavitating lesion)
Atypical pneumonia
Mycoplasma pneumonia (transerse myelitis)
Legionella (AC) (hypoNa)
Chlamydia psottica (pet birds)
Chlampydia pneumoniae
CAP managment
Amoxicillin (co-amox if severe)
HAP management
if staph; flucoxacillin+ gentamicin
if MRSA; vancomycin
Atypical pneumonia management
Clarithromycin
Aspiration pneumonia management
Metonidazole
TB manifestations
notes
Where does adenocarcinoma occur?
Peripheral lung
Auscultation of mesothelioma
pleural friction rub
