Respiratory Flashcards
Stony dull to percussion
Pleural effusion
Right sided pleuritic chest pain
Pneumonia
Ground glass appearance on CXR
Neonatal respiratory distress syndrome or pulmonary fibrosis
Ziehl Neelson stain
TB
Caseous necrosis
TB
Apical disease
Secondary disease
Assmann Focus
Apical lesion- TB
How is military TB spread?
Bloodstream
+ anti-GBM antibodies
Goodpasture’s syndrome
Chest infection with birds
Chlamydia psittaci
Dry cough and diarrhoea after holiday abroad with indication of water spread
Legionella
Tall thin man who indulges in marijuana
Pneumothorax
Bilateral hilar lymphadenopathy, erythema nodosum, granulomas, weight loss, fatigue, uveitis
Sarcoidosis
Bronchiole wider than neighbouring arteriole- signet ring sign
Bronchiectasis
D sign on Xray
Empyema
Steeple sign on CXR
Croup
Child with barking cough
Croup
Pneumocyctis pneumonia
HIV
How do you treat pneumocyctis?
Co-trimoxazole
Alcoholic with pneumonia
Klebsiella
Red jelly sputum
Klebsiella
Mucoid sputum
Chlamydia psittaci
Rusty sputum
Pneumococcal
Cannonball metastases, weight loss, haematuria
Renal cell carcinoma
Morning headache
Hypercapnia or effect of organic nitrates
ACTH secreting tumour
Small cell carcinoma
PTH secreting tumour
Squamous cell carcinoma
Increased serum ACE and Ca++
Sarcoidosis
Egg shell calcification at hilar region
Silicosis
Area of infection and caseous necrosis at the periphery of the lung found in TB
Ghon focus
Horner’s syndrome
Pancoast tumour
Thumbprint sign on head x-ray
Epiglottitis
Inspiratory whoop/barking cough
Whooping cough
Snow storm appearance on x-ray
Baritosis or silicosis
Non-smoker with lung cancer
Adenocarcinoma
Central lung cancer
Squamous or small cell
High d dimers
PE
Low d dimers
Exclude PE
Alveolar bats wings, Kerley b lines, cardiomegaly, dilated prominent upper lobe vessels
Pulmonary oedema
Hyperexpanded chest
COPD (or alpha 1 anti-trypsin)
Stridor
Upper airway obstruction
Early onset emphysema
Alpha1 antitrypsin
Positive sweat test >60mmol/L NaCl
CF
Fever, night sweats, anorexia, haemoptysis
TB
Orange coloured secretions
Rifampicin
Peripheral neuropathy
Isoniazid
Colour blindness
Ethambutol
Gout
Pyrazinimide
PEFR in restrictive disease is?
Normal
sudden onset chest pain with history of marfan’s syndrome
pneumothorax
protein > 35g/L
Exudate effusion
protein < 35g/L
Transudate effusion
CD4 mediated with eosinophil infiltrate
asthma
CD8 mediated with neutrophil infiltrate
COPD