Respiratory Buzzwords Flashcards
Apical Disease
Secondary TB (Assmann Focus)
Positive anti-glomerular basement membrane antibodies
Goodpasture’s syndrome
Dry cough + diarrhoea after a recent holiday abroad and evidence of water spread. (urine antigens positive)
Legionella pneumophila
Assmann Focus
Apical lesion of secondary TB infection
Thumbprint sign on a head Xray
Epiglottitis
Bronchiole wider than neighbouring arteriole
Bronchiectasis
Eggshell hilar calcification
Silicosis
Caseous necrosis
TB
PTH secreting tumour of the lung
Squamous cell carcinoma of the lung
Alveolar bat wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels, pleural effusions
Pulmonary oedema
Asthma, nasal polyps, salicylate sensitivity
Samter’s triad
Ptosis, meiosis and anhydrosis
Horner’s syndromes
Morning headache (two things)
Hypercapnia or side-effect of organic nitrate
Child with a barking cough
Croup
Alcohol/risk of aspiration pneumonia
Klebsiella pneumonia
ACTH secreting tumour of the lung
Small cell carcinoma of lung
Acute managment of asthma stages: OSHIT MAN
- Oxyen
- Salbutamol nebulised back to back
- Hydrocortisone IV/prednisolone PO
- Ipratropium bromide
- Theophylline/aminophylline
- Magnesium IV
- Anaesthetist
Increased serum ACE and Ca2+ ions
Sarcoidosis
Afro-carribean woman with red-blue nodules on her shins
Sarcoidosis
Stony dull to percussion
Pleural effusion
D-sign on x-ray
Empyema
Pneumocystis pneumonia
HIV +ve - treat with co-tramoxazole (and prednisolone If severe)
Stages of managment of acute COPD: iSOAP
- Ipratropium
- Salbutamol
- Oxygen
- Amoxicillin
- Prednisolone
Right sided pleuritic chest pain
Most likely a pneumonia
Treatment of small PE
Low molecular weight heparin
Bilateral hilar lymphadenopathy, erythema nodosum, granulomas, fatigue, uveitis and weight loss
Sarcoidosis
Tall thin man who indulges in marajuana
probably a pneumothorax (Marfan’s)
Heart failure cells in alveolar spaces
Chronic pulmonary oedema associated with severe LVF, or long standing Pulmonary Arterial Hypertension.
Miliary TB
Spread of TB into bloodstream to lungs (via PA) or liver, spleen and kidneys (via PV)
Ghon focus
Infection and caseous necrosis caused by TB at the periphery of the lung beneath the pleura
Inspiratory whoop/barking cough
pertussis
Ground glass appearance on X-ray in an adult
Pulmonary fibrosis
High d-dimers
Suspect (but not prove) PE -> send for CTPA.
Coin lesion on xray
May be primary bronchial/lung carcinoma, metastatic tumour (especially kidney), bronchial hamartoma, carcinoid tumour, granulomatous inflammation or abscess.
Zhiel-neelson stain positive for acid fast bacilli
TB
Non-smoker + lung cancer
Adenocarcinoma
Rusty sputum
Pneumococcal pneumonia
Ground glass appearance on X-ray in a neonate
Respiratory distress syndrome of the newborn
Treatment of large PE
Thrombolysis
Red jelly sputum
Klebsiella pneumonia
Steeple sign on x-ray
Laryngotracheobronchitis/croup
Chest infection + parrot of pigeon as pet
Chlamydophila psittaci infection
Low d-dimers
Excludes PE
Mucoid sputum
Chlamydia psittaci
Tuberculous pleurisy
Rupture of ghon focus through the visceral pleura.
Snow storm appearance on x-ray
Baritosis/silicosis
Cannonball metastases
Primary renal cell carcinoma