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