Respiratory Flashcards
Stony dull to percuss
Pleural Effusion
Right Sided pleuritic chest pain
(most likely) Pneumonia
Alveolar bat’s wings
Kerley B lines
Cardiomegaly
Dilated prominent upper lobe vessels
Pulmonary Effusion
Pulmonary Oedema
Ground-glass appearance on X-ray
Pulmonary Fibrosis and RDS of the newborn
Ziehl-Neeson stain +VE for acid fast bacilli
Caseous Necrosis
TB
Miliary Tuberculosis
- Spread of organism into bloodstream
- If organism spreads via pulmonary artery, miliary dissemination into the lungs occurs
- If organism spread via pulmonary vein, there is systemic dissemination to the liver, spleen and kidneys
Positive anti-glomerular basement membrane antibodies
Goodpasture’s syndrome
Chest Infection with a parrot/pigeon as a pet
Caused by chlamydophila psittaci
Dry cough and diarrhoea after holiday abroad: some indication of water spread
Legionella Pneumonia
Tall, thin young man who indulges in marijuana
Pneumothorax (Marfan’s)
Bilateral hilar lymphadenopathy
Erythema nodosum
Granulomas
Fatigue
Uveitis
Weight loss
Sarcoidosis
Bronchiole wider than neighbouring arteriole (on CT) (signet ring sign)
Bronchiectasis
D sign on X ray
Empyema
‘Steeple’ sign on X ray
laryngotracheobronchitis/croup
Child with a barking cough
Croup
Pneumocystis Pneumonia
HIV
Treat with Co-trimoxazole +/- prednisalone if severe
Asthma
Nasal polyps
Salicylate sensitivity
Samter’s Triad
Alcoholic (danger of aspiration pneumonia)
Red Jelly Sputum
Klebsiella pneumoniae
Mucoid sputum
Chlamydia psittaci
Rusty sputum
Pneumococcal pneumonia
Cannonball metastases (also weight loss and haematuria)
Classically from primary renal cell carcinoma