Respiratory Flashcards

1
Q

Chronic Smoker with Hyperinflated X-ray (Dx)

A

COPD

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2
Q

Hyperinflated Lung X-ray Feat

A
  1. X-ray is Blackish in Color (Hyperlucent)
  2. > 7-8 Ribs when you Count
  3. Heart is Hanging (Tubular Shape)
  4. Diaphragm is Quite Flat
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3
Q

COPD PE Key Point

A
  1. Respiratory PE
  2. Specific Features
  3. r/o Tension Pneumothorax
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4
Q

COPD Signs

A
  1. LOC - Drowsy - High CO2
  2. Pursed Lip Breathing
  3. Respiratory Distress - Use of accessory Muscles, Tracheal Tug
  4. Flapping Tremor
  5. RI - Barrel Shaped Chest
  6. RP - Reduced Expansion, Hoover sign
  7. RP - Hyper Resonant, Tympanitic Liver Dullness
  8. RA - Added Sounds - Inspiratory Crackels
  9. JVP (Cor Pulmonale)
  10. R sided HF (Late stage)
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5
Q

Acute SOB with Episode of Immobilization

A

Pulmonary Embolism

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6
Q

Pulmonary Embolism Key Point

A
  1. Respiratory Examination
  2. Specific Signs
  3. DVT PE
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7
Q

Pulmonary Embolism Specific Signs

A
  1. Tachycardia, Tachypnea, Fever
  2. RA - Pleural Friction Rub
  3. Elevated JVP
  4. Right Ventricular Heave
  5. R Ventricular Gallop
  6. Loud P2
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8
Q

Blunt Trauma/Pneumothorax Key Points

A
  1. Respiratory w/ a little bit of CVS
  2. Specific Features
  3. R/o Tension Pneumothorax and Injuries to other Organs
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9
Q

Pneumothorax Specific Signs

A
  1. Subcutaneous Emphysema
  2. Reduced Lung Expansion
  3. Hyper resonance on Percussion
  4. Breathing Sounds Reduced or Absent
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10
Q

Tension Pneumothorax

A
  1. Engorge Veins
  2. Tracheal Deviation
  3. Pneumothorax Respi Findings
  4. Liver Dullness
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11
Q

Stab Wound PE Key Points

A
  1. Respiratory w/ a little CVS and Abd
  2. r/o Damage to Intra Thoracic Structure
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12
Q

Stab Wound Possible Damage to Organs

A

Lungs - Pneumothorax, Pulmonary Contusion
Heart - Tamponade, Great Vessels Injury
Chest Wall
Esophagus
Lower Chest - Diaphragm, Spleen, Liver

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13
Q

Respiratory Trauma - Generic General Appearance

A

LOC
Respiratory DIstress
Cyanosis and Pallor
Talks in Full sentence
Noisy Breathing
Assess Cough and Voice

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14
Q
A
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