Respi Flashcards
Emphysema type associated with smoking
Centroacinar
DIFFUSE ALVEOLAR DAMAGE; Waxy hyaline membrane
ARDS
Emphysema type associated with alpha AT deficiency
Panacinar
Emphysema type associated with spontaneous pneumothorax
Distal acinar
MC type of emphysema
Irregular
Curshmann spirals, charcot leyden crystals, airway remodeling
Asthma
Honeycomb lungs
Restrictive lung disease
Usual interstitial pneumonia
Idiopathic pulmonary fibrosis
Schaumann bodies, asteroid bodies, potato nodes
Sarcoidosis
Wedge shaped infiltrate
Pulmonary infarct (hampton’s hump)
Most common area of mets for lung CA
Adrenals
Azzopardi effect, arise from kulchitsky cells
Small cell lung CA
Cannonball tumors
Metastatic lung tumors
Coin lesion, popcorn calcification
Bronchial hamartoma
Aschoff bodies, anitschow cells; bread and butter pericarditis; MacCallum plaques; Fishmouth buttonhole stenoses
RHD
Whorls of shed epithelium in mucus plugs seen in asthma
Curschmann spirals
Crystalloid made up of eosinophil membrane protein seen in asthma ans amoebiasis
Charcot Leyden Crystals
Most common allergens triggering BA
Dermatophagoides
Indicates need for regular controller therapy
Usenof reliever medication >3x a week
Imbalance bw elastase and alpha anti trypsin
Emphysema
Most common form of severe A1 antitrypsin deficiency
PiZ
Emphysema in smokers
Centriacinar
Emphysema in a1-AT deficiency
Panacinar emphysema
Emphysema in spontaneous pneumothorax
Distal acinar emphysema
Most common form of bronchiectasis
Cylindrical or lobular
Most common cause of chylous pleural effusion
Malignancy
Useful rule out test
Quantitative plasma D- dimer ELISA
Beat known indirect sign of PE on 2d ECho
Mc Connell’s sign (hypokinesis of the RV free wall with normal motion of RV apex)
Most common causes of atypical anemia
My LEg Cramps (mycoplasma, legionella, chlamydia)
Most appropriate tx for atypical pneumonia
Azithromyin
When do you admit a patient with pneumonia
CURB 65(cofusion, uremia, RR>65, low BP, age >65)
Curschmann’s spirals
BA
Best diagnostic test for BA is PFT, what is the next best diagnostic test
Methacoline challenge test