Resp Buzzwords Flashcards
stony, dull to percuss
Pleural Effusion
right sided pleuritic chest pain
Pneumonia
Alveolar bat wings Kerley B lines Cardiomegaly Dilated prominent upper lobe vessels Pleural Effusion
Pulmonary Oedema
ground glass appearance on CXR
Pulmonary Fibrosis and RDS on children
ziehl-neelsen stain positive for acid fast bacilli
TB
Caseous necrosis
TB
Apical disease
secondary TB
Apical lesion
assman focus
Miliary TB
organisms spread in blood stream
organism spread by pulmonary artery
miliary TB dissemination into lungs
organism spread by pulmonary vein
miliar TB dissemination to liver, spleen and kidney
child with barking cough and inspiratory wheeze
croup
pneumocystis pneumonia/pneumocystis jiroveci
HIV
treat HIV
co-trimoxale and prednisolone
positive antiglomelular basement membrane antibodies
goodpastures syndrome
chest infection with pet parrot/pigeon
chylamdophilia psittaci
dry cough and diahorrea after trip abroad
legionella pneumophilia
tall thin young man who smokes marjuana
marfans (possible pneumothorax)
bilateral hilar lymphadenopathy, erythema nodosum, granulomas, weight loss and uvetis
sarcoidosis
signet ring sign on CXR
bronchiectasis
bronchioles appear wider than neighbouring arterioles
bronchiectasis
D sign on CXR
empyema
steeple sign on CXR
croup/ larngyotracheobronchitis
child with barking cough and inspiratory wheeze
croup
adult with barking cough and inspiratory whoop
pertussis
heart failure cells in alveolar spaces
macrophages that have absorbed haemosiderin
what do heart failure cells suggest
pulmonary oedema and left ventricular heart failure (also present in long standing pulmonary hypertension)
ghon focus
area of infarction and caseous necrosis at periphery of lung
ghon focus suggests
TB
Rupture of ghon focus
TB pleurisy
coin lesion on CXR
primary bronchial or lung carcinoma, metastatic tumour, bronchial hamartoma, carcinoid tumour, granulatomous inflammation or lung abscess
horners syndrome
local spread of cancer to intrathoracic nodes or a pancoasts tumour
signs of horners syndrome
ptosis enopthalamus mitosis lack of sweating on affected side of effect (ALL EYE RELATED)
Explain signs of Horners syndrome
invasion of cervical sympathetic chain
acute management of asthma
O SHIT MAN
O SHIT MAN
Oxygen (15 l/min, high flow, non rebreather) Salbutamol (nebuliser) Hydrocortisone (IV) Ipratropium (nebuliser) Theophylline (IV) Magnesium Sulfate (IV) ANaesthetist
thumbprint sign on head X-ray
epiglottis
small cell carcinoma
neuroendocrine, highly malignant, may be associated with endocrine systems
increased serum ACE and Ca2+
sarcoidosis
eggshell calcification at hilar region
silicosis
asthma, nasal polyps and salicylate
samters triad
alcoholics are at danger of
aspiration pneumonia
red jelly sputum
klebsiella pneumonia (common in alcoholics)
mucoid sputum and a pet bird
chlaydia psittaci
rusty sputum
pneumococcal pneumonia
cannonball metastases
primary renal cell carcinoma
cannonball metastases, weight loss, haematuria, ill defined opacities
primary renal cell carcinoma
morning headache
hypercapnia , or side effects of organic nitrates
ACTH secreting lung tumour
small cell carcinoma of lungs
PTH secreting lung tumour
squamous cell carcinoma of lungs
high D-dimers
suggest PE
need more tests (CTPA or V/Q)
low D-dimers
rule out PE
mismatched V/Q scan
PE
matched and abnormal V/Q scan
pneumonia/infection
management of an infective exacerbation of COPD
iSOAP
iSOAP
ipratropium Salbutamol Oxygen Amoxicillin Prednisolone
small PE treatment
low molecular weight heparin
non smoker, lung cancer
adenocarcinoma
squamous and small cell lung cancers
central
large PE
thrombolysis
large PE treatment
streptokinase
Respiratory alkalosis
Panic attack
Frank pus on aspiration
Empyema
Obstructive lung disease with raised eosinophils
Asthma
Obstructive lung disease with raised neutrophils
COPD
Pickwickian disease
Obesity hypoventilation syndrome
Body fat prevents air entering, causes sleep apnoea and hypercapnia
Overnight nasal ventilation
Pickwickian disease
Guillian-Barre disease
Causes paralysis
Preceded by strep throat/infection of GI tract
Polyneuritis
Rapidly progressive, ascending motor neurone paralysis, beginning in feet and ascending to muscles
Coal workers pneumoconiosis
Problems found at apex of lung
ARDS
Non-cardiogenic pulmonary oedema leads to acute resp failure
CXR = bilateral shadowing
TLCO
How well oxygen can diffuse into blood
Type 1 diabetic, vomiting, not taking insulin. Deep breathing and dehydrated
Metabolic acidosis (diabetic ketoacidosis)
pANCA postive
GPA