Respiratory Buzzwords Flashcards
On respiratory examination: Hyperexpanded chest
COPD, Chronic asthma
On respiratory examination: Postural flapping tremor
Acute CO2 retention
On respiratory examination: Stony dull percussion
Pleural effusion
On respiratory examination: Fine crepitations
Pulmonary oedema
On respiratory examination: Pleuritic chest pain
Pulmonary embolism, pneumonia, pneumothorax
On respiratory examination: Stridor
Upper airway obstruction, e.g. foreign body, croup
ABCDEF: Respiratory causes of Clubbing
Abcess (lung), Bronchiectasis (including CF), Cancer (lung), Decreased oxygen (hypoxia, NOT COPD), Empyema, Fibrosing alveolitis
Resp Radiological change: Kerley B lines
Pulmonary oedema, perhaps caused by congestive heart failure
Resp Radiological change: Bat-wing shadowing
Pulmonary oedema, perhaps caused by congestive heart failure
Resp Radiological change: Tram-line shadowing
Bronchiectasis
Resp Radiological change: Miliary shadowing
Miliary TB
Resp Radiological change: Wedge-shaped infarct
Pulmonary embolus
Resp Radiological change: ‘Ground-glass’ appearance
Fibrosis
Resp Radiological change: ‘Honeycomb’ appearance
Fibrosis (late)
Resp Radiological change: Pleural mass with lobulated margin
Mesothelioma
Respiratory condition: Early-onset emphysema plus liver disease. Fever, cough, shortness of breath hours after exposure to antigen (usually farmer after hay exposure). Positive serum precipitins
alpha1-Antitrypsin deficiency, Extrinsic allergic alveolitis
Respiratory condition: Asymptomatic with bilateral hilar lymphadenopathy (BHL)/progressive shortness of breath/dry cough. Non-pulmonary manifestations, e.g. erythema nodosum ↑ serum ACE (angiotensin-converting enzyme) or hypercalcaemia may be mentioned
Sarcoidosis
Respiratory condition: History of recurrent chest infections, failure to thrive. May mention steatorrhoea (pancreatic insufficiency). Positive sweat test (sodium, chloride > 60 mmol/L)
Cystic fibrosis
Respiratory condition: Progressive dyspnoea and cyanosis. Gross clubbing, fine end-inspiratory crackles. Chest x-ray: ground-glass → honeycomb lung
Idiopathic pulmonary fibrosis
Respiratory condition: Non-specific, e.g. fever, nightsweats, anorexia, haemoptysis. Ziehl–Neelsen staining shows acid-fast bacilli (AFBs)
TB
Respiratory condition: Swinging fever, copious foul-smelling sputum. Usually patient has persistent, worsening pneumonia
Lung abscess
Pneumonia Cause: Positive cold agglutinins
Mycoplasma pneumoniae
Cause of Cavitating lung
Squamous Cell Carcinoma, Autoimmune (Wegener’s granulomatosis), Vascular (PE), Infection (Klebsiella, TB, Staph aureus)
Resp drug side effect: Peripheral neuropathy, hepatitis
Isoniazid