Respiratory Flashcards
1
Q
•Dyspnea
•Cough with or w/o sputum
•Wheezing during auscultation
•Acute chest illness
MEDADVICE
A
Asthma
2
Q
- Dry Cough x3 months (chronic)
- Hemoptysis
- Fever
- Midline Burning Chest Pain
- Rhonchi that clears with coughing
- Crackles
- Wheezing
A
Bronchitis
3
Q
- Fever
- Cough
- Smoking Hx
- Nasopharyngeal or GI Bleed
- Blood streaking of sputum
- Gross blood from between the vocal chords or lungs
A
Hemoptysis
4
Q
- Fever or Hypothermia
- Cough (Productive or Nonproductive)
- Dyspnea
- Chest Discomfort
- Sweats or Rigors
- Rhonchi and rales on auscultation
- Tachypnea
- Tachycardia
A
Pneumonia
5
Q
- Decreased breath sounds
- Dullness to percussion on affected side
- Respiratory distress and hypotension
- Tachypnea
- Hypotension and flattened neck veins depending on degree of blood loss
A
Hemothorax
6
Q
- Absent or decreased breath sounds
- Hyper resonance to percussion
- Pleuritic chest pain
- Dyspnea
- Decreased tactile fremitus
- Decreased chest movement
- Hyper resonance on affected side
- Typically young, tall, men who smoke aged 20-40
A
Pneumothorax
7
Q
•Tracheal deviation away from the pneumothorax with RESPIRATORY distress and HYPOTENSION.
A
Tension Pneumothorax
8
Q
•Acute onset or worsening of dyspnea at rest.
•Tachycardia
•Diaphoresis
•Cyanosis
•Pulmonary rales in all lung fields, rhonchi; expiratory wheezing
•Production of pink, frothy sputum
MEDADVICE
A
Pulmonary Edema
9
Q
- Daytime somnolence or fatigue
- History of loud snoring with witnessed apneic events
- Advancing age
- Male gender
- Obesity
- Craniofacial morphology or upper airway soft tissue abnormalities
A
Obstructive Sleep Apnea
10
Q
- Sudden onset of intermittent(fleeting) pain in the chest wall
- Usually follows an injury or illness
- Pain worsened by coughing , sneezing, deep breathing, or movement
- In a young otherwise HEALTHY PT, previous viral respiratory illness or pneumonia
- Previous trauma to the chest wall such as rib fractures may be the cause
A
Pleuritis
11
Q
•Hx of blunt thoracic trauma or MVA’s
•Localized pain
•Crepitus
•Pain with inspiration
•Dyspnea
MEDAVICE
A
Rib Fracture
12
Q
- Pain and respiratory distress
- Usually from a significant blunt force i.e. motor vehicle collision or fall from a height
A
Flail Chest
13
Q
- Any Hx that indicates previous disposition to venous thrombosis especially in the lower extremities
- VIRCHOW’S TRIAD (VENOUS STASIS - Immobility, INJURY TO VESSEL WALL - Trauma, Orthopedic Surgery, HYPERCOAGULABILITY - meds/travel/inherited gene defects)
- Dyspnea, cough, anxiety, and chest pain occur at varying combinations
- Hemoptysis, tachycardia, and tachypnea are common
- Low grade fever, hypotension, cyanosis, DVT signs, pleural friction rub may be present
A
Pulmonary Embolism
14
Q
- Fatigue, weight loss, fever, night sweats and productive cough
- Hx will determine any risk factors: household exposure, incarceration, drug use, or travel to endemic area
- Crackles may be present throughout inspiration or may be heard only after a short cough (posttussive crackles)
A
Tuberculosis
15
Q
- Clear rhinorrhea, hyposmia, nasal congestion
- Malaise, headache and cough
- Symptoms lasts <4 weeks and typically <10 days
A
Upper Respiratory Infection
