Resp Flashcards

1
Q

Resp causes of clubbing

A
Bronchiectasis (CF as well0
Lung cancer
TB
IPF
Empyema lung abscess
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2
Q

Causes of bibasal crackles

A

Pulm oedema
Pneumonia
Bronchiectasis
IPF

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3
Q

Vocal resonance

A
Effusoin= decrese
Consolidation= increase
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4
Q

What does a normal CO2 in a sick asthmatic suggest

A

Bad if normal or high, as they’re normally hyperventilating. Suggests they are failing to keep up

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5
Q

Moderate, severe, life-threatening and near-fatal asthma

A

see resp

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6
Q

Primary pneumothorax treatment

A

under 2, discharge and repeat CXR

over 2; aspirate and if unsuccessful then chest drain

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7
Q

Secondary pneumothorax treatment

A

Under 2 then aspirate

Over 2 then chest drain

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8
Q

Causes of cavitating lesions

A

TB, s.aureus, klebsiella
Wegner’s, rheumatoid arthritis
PE
malignancy

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9
Q

Golden S sign

A

RUL collapse

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10
Q

When do you give oxygen in COPD

A

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

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11
Q

COPD investigations

A

See resp

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12
Q

Asthma chronic treatment

A

BTS

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13
Q

Ix for ILD

A

blood, abg, BIOPSY (gold standard)
CXR
high-resolution CT (usually appropriate)
lung function (restrictive)

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14
Q

Silicosis

A

ILD
pneumoconiosis
decreased breath sounds
coal worker

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15
Q

CAP organsims

A

Strep pneumoniae
Haemophilus influenzae B
Moraxella catarrhalis

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16
Q

HAP

A

S. aureus (cavitating lesion)
Pseudomonas aeriginosa
Klebsiella (cavitating lesion)

17
Q

Atypical pneumonia

A

Mycoplasma pneumonia (transerse myelitis)
Legionella (AC) (hypoNa)
Chlamydia psottica (pet birds)
Chlampydia pneumoniae

18
Q

CAP managment

A

Amoxicillin (co-amox if severe)

19
Q

HAP management

A

if staph; flucoxacillin+ gentamicin

if MRSA; vancomycin

20
Q

Atypical pneumonia management

A

Clarithromycin

21
Q

Aspiration pneumonia management

A

Metonidazole

22
Q

TB manifestations

A

notes

23
Q

Where does adenocarcinoma occur?

A

Peripheral lung

24
Q

Auscultation of mesothelioma

A

pleural friction rub