Respiratory Flashcards
What do you look for in anaphylaxis?
Serum typtase
What do you look for in Churg-Strauss?
ANCA +ve
Stony dull percussion
Pleural Effusion
Right sided pleuritic pain
most like pneumonia
alveolar bat wings, kerly B line, cardiomegaly, dilated prominent vessels, pleural effusion
pulmonary oedema
ground glass appearance on CXR
pulmonary fibrosis and respiratory distress syndrome in a new born
Ziehl neelsen stain +ve for acid fast bacilli
TB
Caseous necrosis
TB
Apical lesion
most likely (secondary) TB; apical lesion is called Assman focus
Miliary TB
spread of organism through blood strem
+ve anti-glomerular basement membrane antibodies
good pastures syndrome
chest infection with parrot/pigeon pet
chlamydophilia psittaci
dry cough and diarrhoea after holiday abroad, some infection of water spread
Lesgionella
+ve urine antigen test
Legionelle
Tall, thin and indulges in marijuana
probs pneumothorax
Bilateral hilar lymphadenopathy, erythema nodosum, granulmoas, fatigue, uveitis, weight loss
sarcoidosis
D sign of xray
empyema
steeply sign of xray
croup
pneumocystis pneumonia
HIV (treat with co-tramoxazole +/- prednisolone is severe)
asthma, nasal polyps and salicylate sensitivity
Samter’s triad
Alcoholic, danger of aspiration
Klebsiella Pneumoniae
Mucoid (white and thick) sputum
Chlamydia psittaci
Rusty sputum
pneumococcal pneumonia
Morning head ache, day time solemness, loud snoring
Sleep apnoea
Morning head aches
hypercapnia or side effects of organic nitrates
ACTH secreting lung tumour
small cell carcinoma
PTH secreting lung tumour
squamous cell carcinoma
Increased serum ACE and Ca2+
Sarcoidosis
Egg shell calcification at hilar region
Silicosis
Heart failure cells seen in alveolar spaces
macrophages that have absorbed haemosiderin - found in chronic pulmonary oedema, and associated (sever) LV heat failure. Also, seen in long standing pulmonary hypertension
Assman Focus
Apical lesion of secondary TB infection
Epithiloid cells and Langhan’s large cells
Gohn Focus in TB
Horner’s syndrome
Drooping of eye lid, sunken eye, small pupil and lack of ipsilateral sweating
Acute management of asthma
Oxygen Salbutamol Hydocorisone IV or prednisolone PO Ipratropium bromide nebulised hourly Theophylline IV or aminophylline IV Magnesium and call an Anaethetist
Thumb print sign on heavy xray
epiglottitis
Inspiratory whoop, barking cough
Pertussis
Snow storm appearance of xray
Barritosis, silicosis
Infective exacerbation of COPD treatment
Ipratropium Salbutamol Oxygen Amoxicillin Prednisolone
Non smoker with lung cancer
peripheral andeocarcinoma
Squamous and small cell lung caner
central
High d dimer
suspect PE
Large PE
Thrombolysis
Small PE
Low molecular weight haparin
Cannon ball appearance on CXR
Renal metasteses
Rheumatoid arthritis with multiple bilateral nodules
Caplan’s syndrome
