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Jack Teh Cheat Sheet Flashcards > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Massive haemoptysis + 2 similar episodes last months Often feel SOB + finished course of Tx for TB CXR: Cavitating lesions with opaque mass in it

A

Aspergillosis

(Caused by aspergillus fumigatus), when spores lodge in pulmonary tissue, usually lungs that have been damaged previously

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2
Q

PE

Wells score

A

D dimer

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3
Q

PE - Well score >four?

What Ix?

A

CTPA

Admit to hospital

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4
Q

Mx of PE if stable?

A

LMWH sub cut/Fondaparinux

Then warfarin for three months

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5
Q

Mx of PE if haemodynamically unstable?

A

Thrombolysis

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6
Q

Lung cancer in non smoker?

A

Adenocarcinoma

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7
Q

Features of adenocarcinoma?

A

Peripheral lung

Pleural involvement

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8
Q

Features of squamous cell

A

Central airways
Clubbing
PTHrp

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9
Q

What criteria is used to classify pleural effusion?

A

Light’s criteria

L=lung

30g

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10
Q

Pathology of upper zones of lung?

A

A PENT

Aspegillosis
Pneumoconiosis- silica, coal
Extrinsic allergic alveolitis
Negative- apical lung fibrosis- from seronegative spondyloarthropathy
TB
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11
Q

Pathology of lower zones of lung?

A

STAIR

Sarcoid/SLE
Toxins/Drugs- IPF- bleomycin, methotrexate
Asbestosis
Idiopathic pulmonary fibrosis
Rheumatoid arthritis
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12
Q

Low glucose in pleural fluid?

A

rheumatoid arthritis

TB

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13
Q

Raised amylase in pleural fluid?

A

Pancreatitis

Oesophageal perforation

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14
Q

Blood in pleural fluid?

A

Mesothelioma
TB
PE

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15
Q

Causes of Type One Resp failure I’d forgotten?

A

Asthma
Emphysema
ARDS

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16
Q

Causes of Type Two Resp failure I’d forgotten?

A

Sleep apnea
Sedatives
Neuromuscular lesion
Flail chest/kyphosis

17
Q

What are some of the extrapulmonary causes of ARDS?

A

Septic shock
Pancreatitis
DIC
Multiple blood transfusion

18
Q

Indications for non invasive ventilation- CPAP/BiPAP?

A

COPD- resp acidosis
Type Two resp failure- due to chest wall injury, sleep apnea or neuromuscular
Cardiopulmonary oedema
Stopping tracheal intubation

19
Q

Differentials for cavitating lesion?

A

SKT SW

Staph aureus
Klebsiella
TB

Squamous cell
Wegener’s

20
Q

When to give LTOT for COPD?

A

PaO2= < 7.3
Noctural hypoxaemia- waking up in night
Peripheral oedema
Pulmonary hypertension

21
Q

NEW ASTHMA MANAGEMENT GUIDELINES- simplified

[not from Jack Teh]

A 
1 SABA
2 SABA + ICS
3 SABA + ICS + LTRA
4 SABA + ICS + LTRA + LABA
5 SABA + ICS + LTRA +  LABA [plus MART rescue inhalers- ICS+SABA]
6 Add theophylline/aminophylline
7 Add oral steroids?

Jack Teh Cheat Sheet Flashcards (13 decks)

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