Respiratory Flashcards
Signet rings on HRCT
Bronchiectasis
Bilateral hilar lymphadenopathy
Sarcoidosis
Sandblaster
Silicosis
Pipe lagger, construction worker
Asbestosis
Tram-tracking
Bronchiectasis
Gold standard for DDx of OSA
Polysomnography
Ground glass appearance/honeycombing
Pulmonary fibrosis
High pleural LDH and protein
Exudative pleural effusion (Light’s criteria) - malignancy, infection
Loud P2, RV heave, elevated JVP
Pulmonary hypertension
Caseating granuloma
Tuberculosis
Centrilobar emphysema
Smoking
Panacinar emphysema
Alpha-1 anti-trypsin deficiency
Acid-fast bacilli
Pulmonary tuberculosis
Hypercalcaemia from paraneoplastic syndrome
SCC of the lung
Gohn focus on CXR
Pulmonary tuberculosis
Causative organism of pneumonia in an HIV patient
Pneumocystis jirovecii
SIADH/ectopic ACTH/LEMS
SCLC
Atypical pneumonia with cold agglutinins
Mycoplasma pneumonia
Office worker with pneumonia
Legionella
Tall basketball player with SOB
Pneumothorax
Oat cells
SCLC
Rash post amoxycillin for suspected strep throat
EBV
Positive sweat test
CF
Atypical mononuclear cells
EBV
Cysts on toluidine blue stain
PJP
Rusty coloured sputum
Strep pneumoniae pneumonia
Pneumonia with cows
Coxiella burnetti (Q-fever)
Positive PCR on nasopharyngeal swab
Influenza
Air conditioning
Legionella pneumonia
Voluminous watery sputum
Adenocarcinoma
Urinary antigen positive
Legionella pneumonia
Asthmatic SOB despite oxygen
VQ mismatch
Pneumonia and parrots
Chlamydia psittaci
Atypical pneumonia with AHA, erythema multiforme, myopericarditis and meningoencephalitis
Mycoplasma pneumoniae
Atypical pneumonia with hyponatraemia and lymphopenia
Legionella pneumonia
Bilateral lung nodules in a miner with RA
Caplan’s syndrome
Calcified nodules in lower zones
Previous varicella pneumonitis
Antibiotics for PJP
Co-trimoxazole (TMP-SMX)
Antibiotic for chlamydial pneumonia
Tetracycline
Crackles do not clear after coughing
Pulmonary oedema, pleural effusion
Widespread, firm, fibrotic nodules
Silicosis
Wedge-shaped opacity
Pulmonary infarction
Swollen leg + sudden uge to defecate
Saddle embolus
Sputum - pus cells, culture mixed oral flora
Aspiration pneumonia
Potting mix + diarrhoea + pneumonia
Legionella
Bilateral cavitating bronchopneumonia after influenza infection
Staph aureus pneumonia
Polyuria
Hypercalcaemia due to active sarcoid or SCC
WCC elevated with 90% lymphocytes
Pertussis
Lowenstein-Jensen medium
TB
Gram negative motile bacilli on MacConkey agar
Pseudomonas
Slender Gram negative rods, milky white colonies on charcoal yeast extract agar
Legionella
Fried egg colonies, lack of cell wall
Mycoplasma pneumoniae
Lung cancer type most closely associated with smoking
SCC
Indrawn tympanic membrane
Otitis media
Except acute suppurative otitis media - children
Sighing breaths
Metabolic acidosis
Most diagnostic test for influenza
PCR
Monophonic wheeze
Tumour / foreign body / vocal cord paralysis
DRUG: COPD drug causing cardiac arrhythmia
Theophylline
DRUG: anti-pseudomonas activity (3)
- Aminoglycosides
- 3rd gen cephalosporins
- Ticarcillin
- Meropenem
- Ciprofloxacin
DRUG: reduces efficacy of OCP
Rifampicin