Respiratory Flashcards
Stoney dull to percuss
Pleural effusion
Right sided pleuritic chest pain
Most likely ammonia
Ground-glass appearance on CXR
Pulmonary fibrosis
OR
Respiratory distress syndrome of newborn
Ziehl-Neelsen stain positive for acid fast bacilli
TB
Caseous necrosis
TB
Apical disease
Secondary to TB
Lesion in mid to lower periphery zones on CXR
Ghon Focus (TB)
Chest infection, owns parrot/pigeon
Chlamydophila psittaci
Dry cough, diarrhoea after holiday abroad with water contact
Legionella pneumophila
Erythema nodosum, fatigue, weight loss, bilateral lymphadenopathy
Sarcoidosis
Bronchiole wider that neighbouring arteriole (Signet ring sign)
Bronchiectasis
D sign on CXR
Empyema
Steeple sign on CXR
Croup
Barking cough
Croup
HIV patient with chest infection
Pneumocystic pneumonia
Alcoholic with chest infection
Klebsiella pneumoniae
Red jelly sputum
Klebsiella pneumoniae
Mucoid sputum
Chlamydophila psittaci
Rusty sputum
Pneumococcal pneumonia
Morning headache
Hypercapnia
ACTH secreting lung tumour
Small cell carcinoma
PTH secreting lung tumour
Squamous cell ca. of lung
Neuroendocrine (ectopic endocrine syndromes), highly malignant
Small cell carcinoma
Increased serum ACE and Ca2+
Sarcoidosis
Eggshell calcification at hilar region
Silicosis
Pancoast’s tumour, ptosis, miosis, lack of sweating on side of effected face
Horner’s syndrome
OSHITMAN
Acute asthma: Oxygen 100% Salbutamol nebulised Hydrocortisone IV/prednisolone PO Ipratropium nebulised hourly Theophylline/aminophylline IV Magnesium Anaesthetist
Thumbprint sign on head XR
Epiglottitis
Whooping inspiratory noise
Pertussis
Snow storm appearance on CXR
Baritosis, Silicosis
iSOAP
Infective COPD: Ipratropium Salbutamol Oxygen Amoxicillin Prednisolone
None smoker, lung cancer
Adenocarcinoma
Central lung cancers
Squamous
Small cell
High d-dimers
suspect PE
Small PE treatment and Large PE treatment
Small: LMW heparin
Large: Thrombolysis
