RESPIRATORY CONDITIONS Flashcards
1
Q
RESPIRATORY DISEASE
A
- Type of disease that affects the lungs and other types of the respiratory system
2
Q
S&S OF RESPIRATORY DISEASE
A
- Dyspnoea
- Cough
- Chest px
- Wheeze
- Weight loss
- Fatigue
- Chest infections
- Mucus production coughing up blood
3
Q
CAUSES OF COUGH - ACUTE COUGH
A
- Common cold
- Influenza (flu)
- Inhaling an irritant (smoke, dust, chemicals or foreign body)
- Pneumonia
- Whooping cough
4
Q
CAUSES OF COUGH - CHRONIC COUGH
A
- Allergies
- Asthma (most common in children)
- Bronchitis
- Gastroesophageal reflux disease (GERD)
- Postnasal drip
5
Q
CAUSES OF COUGH - OTHER
A
- Acute sinusitis
- Bronchiectasis
- Bronchiolitis
- Chocking: first aid
- Chronic sinusitis
- Chronic obstructive pulmonary disease (COPD)
- COVID-19
- Croup
- Cystic fibrosis
- Emphysema
- Heart failure
- Laryngitis
- Lung cancer
- ACE inhibitor use
- Neuromuscular diseases
- Pulmonary embolism
- Respiratory syncytial virus (RSV)
- Sarcoidosis
- Tuberculosis
6
Q
SPEUTUM - DEFINITION
A
- Sputum is matter expectorated from the respiratory system
- It is composed of mucus but may contain pus, blood, fibrin or microorganisms in diseased states
- It is produced when a persons lungs are diseases ir damaged
7
Q
SPEUTUM - COLOURS
A
- White - May mean allergies or viral infection
- Green - May mean bacterial infection
- Red - May mean lung injury or malignancy
- Brown - May indicate lung disease
8
Q
SPEUTUM - CAUSES OF CHANGES
A
- Smoking
- Asthma
- Cystic fibrosis
- Respiratory tract infections
- Covid
- Flu
- Bronchitis
- Pneumonia
- Tuberculosis
9
Q
HAEMOPTYSIS - DEFINITION
A
- Coughing up blood from the lungs
10
Q
HAEMOPTYSIS - CAUSES
A
- Infection - Bronchitis, Pneumonia
- Bronchiectasis - Disease where the large airways in the lungs are damaged
- COPD
- Lung cancer
- Tuberculosis
- Pulmonary embolism
- Lung abscess
- Lung injury
- Having something stuck in the airway
- Using drugs
- Having fluid in the lungs due to a heart condition
- Anticoagulant therapy
- Having cystic fibrosis
11
Q
HAEMOPTYSIS - SYMPTOMS
A
- Fever
- Cough
- Night sweats
- Weight loss
- Fatigue
- Difficulty breathing or shortness of breath
- Chest px
12
Q
BREATHLESSNESS
A
- Dyspnoea
- Intense tightening of the chest, air hunger, difficulty breathing, breathlessness or a feeling of suffocation
13
Q
BREATHLESSNESS - RESP CAUSES
A
- Asthma
- Chest infection
- Being overweight
- Smoking
- Panic attack
- COPD
- Idiopathic pulmonary fibrosis
- Heart failure
- Lung cancer
14
Q
BREATHLESSNESS - CVS CAUSES
A
- Angina
- Heart attack
- Heart failure
- Some abnormal heart rhythms - Atrial fibrillation
15
Q
BREATHLESSNESS - GI CAUSES
A
- Any condition that leads to the build up of air or foodstuffs could cause both bloating anf breathlessness
- Stool inside the intestines
- IBS
- Celiac disease
- Lactose intolerance
- Constipation
- Ileus
- Bowel obstruction
- Gastroparesis
16
Q
ASTHMA - DEFINITION
A
- Airways narrow and swell and may produce extra mucus
17
Q
ASTHMA - POPULATION AFFECTED
A
- Female adults
18
Q
ASTHMA - RISK FACTORS
A
- Blood relative with asthma
- Overweight
- Smoker
- Exposure to second hand smoke
- Exposure to exhaust fumes
19
Q
ASTHMA - CLINICAL PRESENTATION
A
- May have infrequent asthma attacks
- Shortness of breath
- Chest tightness or pain
- Wheezing when exhaling, common in children
- Trouble sleeping caused by shortness if breath
- Worsening signs - more frequent and bothersome, inc difficulty breathing, need to use quick-relief inhaler
20
Q
CYSTIC FIBROSIS - DEFINITION
A
- Inherited disorder that causes severe damage to lungs, digestive system and other organs
21
Q
CYSTIC FIBROSIS - CAUSE
A
- Mutation in a gene - cystic fibrosis transmembrane conductance regulator (CFTR) gene- changes protein that regulates movement of salts in and out of cells
22
Q
CYSTIC FIBROSIS - POPULATION AFFECTED
A
- Northern Europeans
23
Q
CYSTIC FIBROSIS - RISK FACTORS
A
- Family Hx
- Most common in Northern European ancestry
24
Q
CYSTIC FIBROSIS - CLINICAL PRESENTATION
A
- Variable
- May not experience symptoms until teenage years or adulthood
- Tend to have higher salt in sweat, parents can tell when kissing their children
- Respiratory - Persistent cough that produces thick mucus, Wheezing, Exercise intolerance, Repeated lung infections, Recurrent sinusitis
- Digestive - Thick mucus can block rubes that carry digestive enzymes from pancreas to small intestines - without these unable to absorb nutrients from food resulting in - Foul smelling stools, Poor weight gain and growth, Intestinal blocks particularly in new-borns, Chronic or severe constipation
25
LUNG CANCER - DEFINITION
- Types:
1. **Small cell** - almost exclusively in heavy smokers
2. **Non-small cell** - umbrella term for several types, includes squamous cell carcinoma, adenocarcinoma and large cell carcinoma
26
LUNG CANCER - POPULATION AFFECTED
- 65+
27
LUNG CANCER - RISK FACTORS
- Smoking
- Exposure to second hand
- Previous radiation therapy
- Family Hx of lung cancer
28
LUNG CANCER - CLINICAL PRESENTATION
- Rarely symptoms in early stages
- New cough that doesn’t go away
- Coughing up blood
- Chest pain
- Shortness of breath
- Hoarseness
- Losing weight
- Bone pain
- Headache
29
PNEUMOTHORAX - DEFINITION
- Collapsed lung
- Occurs when air leaks into space between lung and chest wall
- Air pushes on outside of lung and it collapses
30
PNEUMOTHORAX - POPULATION AFFECTED
- Tall, thin people
- Smokers
31
PNEUMOTHORAX - RISK FACTORS
- Smoking
- Genetics
- Previous pneumothorax
32
PNEUMOTHORAX - CLINICAL PRESENTATION
- Sudden chest pain
- Shortness of breath
- Severity depends on how much lung is collapsed
33
EMPHYSEMA - DEFINITION
- Lung condition causing shortness of breath
- Reduces surface area of lungs → reduced oxygen to bloodstream
34
EMPHYSEMA - CAUSE
- Long-term exposure to airborne irritants e.g., tobacco smoke, air pollution, chemical fumes and dust
35
EMPHYSEMA - POPULATION AFFECTED
- Cigarette smokers
36
EMPHYSEMA - RISK FACTORS
- Smoking
- Age- 40-60
- Exposure to second-hand smoke
- Occupational exposure to fumes or dust
37
EMPHYSEMA - CLINICAL PRESENTATION
- Can have it many years without noticing
- Main symptom is shortness of breath, so doesn’t become a problem until it interferes with daily life
- Causes shortness of breath whilst at rest
38
CHRONIC BRONCHITIS - DEFINITION
- Productive cough that lasts at least three months, with recurring bouts occurring at least two consecutive years
39
CHRONIC BRONCHITIS - CAUSE
- Usually caused by viruses, typically same as colds and flu (influenza)
- Smoking, Air pollution, Dust, Toxic gas from enviro
40
CHRONIC BRONCHITIS - POPULATION AFFECTED
65+
41
CHRONIC BRONCHITIS - RISK FACTORS
- Cough
- Production of mucus = clear, white, yellowish-grey or green, rarely may have streak of blood
- Fatigue
- Shortness of breath
- Slight fever/chills
- Chest discomfort
- Potential body aches, mild headache
42
CHRONIC BRONCHITIS - CLINICAL PRESENTATION
- Cough
- Production of mucus = clear, white, yellowish-grey or green, rarely may have streak of blood
- Fatigue
- Shortness of breath
- Slight fever/chills
- Chest discomfort
- Potential body aches, mild headache
43
COMMON COLD - DEFINITION
- An infection of the nose and throat. Caused by a virus and is not treated with antibiotics
44
COMMON COLD - POPULATION AFFECTED
- Adults 2-3 colds per year
- Children 5-8 colds per year
45
COMMON COLD - RISK FACTORS
- Age
- Infants and young children most likely to get a cold
- Weakened immune system
- Time of year
- Fall or winter most common
- Can get it any time though
- Smoking
- Exposure
46
COMMON COLD - CLINICAL PRESENTATION
- Symptoms usually appear one to three days after exposure to a cold-causing virus
- Runny nose
- Sore throat
- Cough
- Congestion
- Slight body aches or a mild headache
- Sneezing
- Low-grade fever
- Generally feeling unwell
47
COVID - DEFINITION
- A contagious respiratory disease caused by infection with the virus SARS-CoV-2
48
COVID - CAUSE
- Caused by infection with the virus SARS-CoV-2
49
COVID - POPULATION AFFECTED
- Older people
- Immunosuppressed people
50
COVID - RISK FACTORS FOR DEVELOPING DANGEROUS SYMPTOMS
- Older age
- Having other serious health problems - Heart or lung conditions especially
- Weakened immune systems
- Obesity
- Diabetes
51
COVID - CLINICAL PRESENTATION
- Fever
- Dry cough
- Tiredness
- Muscle aches
- Sore throat
- Runny or stuffy nose
- New loss of taste or smell
52
STREP THROAT - DEFINITION
- A bacterial infection that can make your throat feel sore and scratchy
53
STREP THROAT - CAUSE
- Caused by an infection with a bacterium known as Streptococcus pyogenes, also called group A streptococcus
54
STREP THROAT - POPULATION AFFECTED
- Children
55
STREP THROAT - RISK FACTORS
- Young age - More common in children
- Time of year - Can occur anytime but it tends to circulate most in winter and early spring
56
STREP THROAT - CLINICAL PRESENTATION
- Throat px that usually comes on quickly
- Painful swallowing
- Red and swollen tonsils, sometimes with white patches or streaks of pus
- Tiny red spots on the area at the back of the roof of the mouth
- Swollen, tender lymph nodes in your neck
- Fever
- Headache
- Rash
- Nausea or vomiting, especially in younger children
- Body aches
57
STREP THROAT - PROGNOSIS
- Will not go away on its own
- Treatment is antibiotics
- Penicillin and amoxicillin are most common
58
TONSILLITIS - DEFINITION
- When the tonsils at the back of your throat become swollen
59
TONSILLITIS - CAUSE
- Most often caused by common viruses (viral tonsillitis)
- Bacteria can also cause it (bacterial tonsillitis)- Most common bacteria causing tonsillitis is bacterium known as Streptococcus pyogenes, also called group A streptococcus
60
TONSILLITIS - POPULATION AFFECTED
- Children between preschool ages and midteenage years
61
TONSILLITIS - RISK FACTORS
- Young age - Most common in people 5-15
- Frequent exposure to germs
62
TONSILLITIS - CLINICAL PRESENTATION
- Red, swollen tonsils
- White or yellow coating or pathches on the tonsils
- Sore throat
- Difficult or painful swallowing
- Fever
- Enlarged, tender lymph nodes in the neck
- Scratchy, muffled or throaty voive
- Bad breath
- Stomach ache
- Neck px or stiff neck
- Headache
- Other symptoms seen in young children include
- Drooling due to difficult or painful swallowing
- Refusal to eat
- Unusual fussiness
63
LARYNGITIS - DEFINITION
- Inflammation of your larynx (voice box) from overuse, irritation or infection
64
LARYNGITIS - ACUTE
- Viral infections similar to those that cause a cold
- Vocal strain, caused by yelling or overusing your voice
65
LARYNGITIS - CHRONIC
- Usually caused by exposure to irritants over time
- Inhaled irritants such as chemical fumes, allergens or smoke
- Acid reflux, also called gastroesophageal reflux disease (GERD)
- Chronic sinusitis
- Excessive alcohol use
- Habitual overuse of your voice
- Smoking
66
LARYNGITIS - POPULATION AFFECTED
- Most common in adults aged 18 – 40
67
LARYNGITIS - RISK FACTORS
- Having a respiratory infection
- Exposure to irritating substances
- Overusing your voice
68
LARYNGITIS - CLINICAL PRESENTATION
- Hoarseness
- Weak voice or voice loss
- Tickling sensation and rawness in throat
- Sore throat
- Dry throat
- Dry cough
69
ACUTE BRONCHITIS - DEFINITION
- Inflammation of lining of bronchial tube, which carries air from lungs
70
ACUTE BRONCHITIS - POPULATION AFFECTED
- Can affect all ages, most common in children under 5
71
ACUTE BRONCHITIS - RISK FACTORS
- Smokers
- Low resistance - may result from another acute illness such as a cold
- Exposure to irritants at work- e.g., grain or textiles
- Gastric reflux - repeated bouts of severe heartburn can irritate throat and inc chance of bronchitis
72
ACUTE BRONCHITIS - CLINICAL PRESENTATION
- Cough
- Production of mucus = clear, white, yellowish-grey or green, rarely may have streak of blood
- Fatigue
- Shortness of breath
- Slight fever/chills
- Chest discomfort
- Potential body aches, mild headache
73
BRONCHIOLITIS - DEFINITION
- Common lung infection
- Causes inflammation and congestion in bronchioles
74
BRONCHIOLITIS - POPULATION AFFECTED
- Young children and infants
- Peal time is during winter
75
BRONCHIOLITIS - RISK FACTORS
- Premature birth
- Underlying heart or lung conditions
- Depressed immune system
- Exposure to tobacco smoke
76
BRONCHIOLITIS - CLINICAL PRESENTATION
- Early- runny/stuffy nose, cough, slight fever (not always present)
- After this may be a week or more of difficulty breathing or whistling of nose
- Many infants have an ear infection (otitis media)
77
WHOOPING COUGH - DEFINITION
- Highly contagious respiratory tract infection
78
WHOOPING COUGH - CAUSE
- Bacteria called Bordetella perussis
79
WHOOPING COUGH - POPULATION AFFECTED
- Mainly affects children too young to finish full course of Antibiotics or teens/adults whose immunity has faded
80
WHOOPING COUGH - RISK FACTORS
- When vaccine wears off
- Infants under 12 months who are unvaccinated or haven’t received full set have highest risk for severe complications and death
81
WHOOPING COUGH - CLINICAL PRESENTATION
- Once infected, takes about 7-10 days to show symptoms
- Runny nose
- Nasal congestion
- Red, watery eyes
- Fever
- Cough
- After week or two - provoke vomiting, red/blue face, extreme fatigue, end with high pitched ‘whoop’ sound during next breath of air
82
PNEUMONIA - DEFINITION
- Infection that inflames air sacs in one or both lungs
- Sacs may fill with fluid or pus, causing cough, fever, chills, and difficulty breathing
83
PNEUMONIA - POPULATION AFFECTED
- Children under 2
- Adults over 65
84
PNEUMONIA - RISK FACTORS
- Most serious for infants and young children (under 2)
- People over 65
- Health problems/weakened immune system
- Being hospitalised
- Smoking
85
PNEUMONIA - CLINICAL PRESENTATION
- Mild to severe
- Chest pain when coughing or beathing
- Confusion (65+)
- Cough, may produce phlegm
- Fatigue
- Fever, sweating and shaking chills
- Lower body temperature
- Nausea, vomiting, diarrhoea
- New-borns may not show signs
86
TUBERCULOSIS - DEFINITION
- Potentially serious disease that mainly affects lungs
- Inc prevalence in 1985 post HIV outbreak as HIV weakness immune system
87
TUBERCULOSIS - POPULATION AFFECTED
- Children under 5
- Adults in their productive years
88
TUBERCULOSIS - RISK FACTORS
- HIV/AIDS
- Diabetes
- Severe kidney disease
- Some drugs with treat rheumatoid diseases
89
TUBERCULOSIS - CLINICAL PRESENTATION
- **Latent TB** - have TB but bacteria in body are inactive and cause no symptoms, treatment important to prevent it becoming active
- **Active TB** - show symptoms, can spread to others, can occur weeks or years after TB bacteria infection
- Coughing for 3 or more weeks
- Coughing up blood or mucus
- Night sweats
- Loss of appetite
- Chest pain especially when coughing or breathing