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Short Case > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Hands/periphery

A 
Clubbing
Pallor
Wasting of thenar/hypothenar eminences
Wrist pain
Hypercapnic flap
Abduction strength

Pulse
BP not necessary

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2
Q

General inspection

A

O2
NP
CPAP machines

Wasting
Breathing effort, stance
Chest appearance

Scars
Chest drains

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3
Q

Face/neck

A

Horners: ptosis, miosis, anhydrosis
Anaemia

Mouth, central pallor, MM

JVP, waveform

Trachea - midline

?General apperance of congestion
Don’t have to do Pemberton sign

LYMPH NODES FROM BACK

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4
Q

Chest

A

BACK:
Percuss, starting from aerated areas
Auscultate - additional sounds, crepitus, ronchi, wheeze
Vocal fremitus
Chest expansion - anchor finger tips to lateral/axillary sides and bring thumbs as close to togther (BUT FLOATING) as full insp > exp > insp

FRONT: same

Cardiac exam - CCF, pulmonary HTN

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5
Q

Others

A

Forced expiratory time/pressure
6MWT
O2 sats

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6
Q

Upper lobe predominant pulmonary fibrosis

A 
S silicosis 
C oil's worker pneumoconiosis/ CF
A ankylosing spondylitis/ ABPA 
R adiation 
T tuberculosis
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7
Q

Lower lobe pulmonary fibrosis

A 
R RA
A asbestosis 
S scleroderma 
I idiopathic pulmonary fibrosis 
O thers eg drugs
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Short Case (7 decks)

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