Respiratory Medicine Flashcards
surfactant chemically
Dipalmitoyl phas phaticdyl
Choline
surfactant production starts at
2o wks
peak 35 wKs
Rx Neonatal RDS
02+ CPAP
endotracheal intubation
sur factant
2° pulmonary alVeolar proteinosis
acute silicosis
milky white PAS +ve BAL
P ulm alveolar Protei nosis
crazy paving pattern
pulm alveolar protee osis
Rx pulmonary alveolar proteinsis
Whole
lung lavage
We bel’s
lungg model
23 gen
Acinus
resp bronchioles
+ alveoli
aspiration commrom in
which lobe
sitting/standing RLL post
overall, sup ine → RLL sup> RUL post
BXIs more common in
left
lower lobes
Radio lucent
FB
plastic
wood
food
Best investigation
for FB
Bronchoscopy
mcc hemoptysis
B.A.
T.B
massive
hemoptysis
100-15O me/episode
400-600ml/day
mcc massive
hemoptys is
BX IS
mcc death
in massive
heroptysis
blood clot asphyxiation
cardiac)
vascular causes of
hemoplysis
HF ms p E
pulm AU malformation
systemic
causes of
hemoptysis
coagulopathy
Good pasturesyndrome
CTD lung diseases
small vessel vasculitis
Basic evaluation of he moplysis
CBC
CXR
sputum
CT chest
T-OB
… …
massive unstable hemoptys is
stabilise
rigid bronchoscopy
low risk
non massive hemoptys is
CXR N oomal
CT chest, FOB
only if reccarant
reassure#
antibiotic
Rx persistant
hemoptysis
Bronchial A
embolisation
Resection of
affected lobe
apex base IPP
_10
_2-5
more negative ipp
deep inspiration
collapse
fibrosis
l”ng
volumes in emphysema
RV”
FRC”
TLC”
airway
radius,,
resistance “
Rx COPD, emphysema
Low flow 02
2-3 L/min
88-92 %. Sp Or
xray findings COPD
BL hyper inflated
bmgs
flat diaphragm
tubular heart
mc mech of
pulm hypoxaemia
v-P mismatch
mecks of
hypoxaemia
Vp mismatch
shunt
diffusion defect
hypo ventilation
Inleapulmonary
shunt caused by
server pneumonia
atelectas is
ARDS
Ro intea pulmonary shunt
invasive mv
DICO normal
90%
DLCO” conditions
alveolar hmge
polycythaemia
Exercise
Asthma
FENO
Test for
asthma
RV measured by
Nitrogen wash out helium dilution body plethysmography
how FEV1/F vc
Obstructive
Asthma
COPD
Chroni c bronchitis
emphysema
Bx IS
Restrictive lung
descases
Filecosis
IuD
Occupational
kyphoscoliosis
Nemomuscular
AIs
Myas thenia gravis
Breath sound in
pneumonia cavity
tubular
cavernous
amphoric
Bronchophony
“vocal resonance
low pitched
wheeze
Rhonchi
Velcro Crepts
1 LD
Fine crepts
pneumonia
palm edema
fibrosis
Respiratory failure characterized by
PaOz<60mmtg
Pa (Oz>45milty
Respiratory failure
types
hypo
mypoor
perioperative
shock) hypo perfusion