Respiratory Medicine for Dental Students Flashcards

1
Q

What are some clinical signs of respiratory problems?

A
RR
breathing sounds
cough
colour of mucous membranes
appearance of mouth and pharynx
finger clubbing
leg oedema
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2
Q

What is sinusitis?

A

Infection of the paranasal sinuses

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3
Q

What bacteria cause sinusitis?

A

H.influenzae

S. pneumoniae

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4
Q

What are the signs of sinusitis?

A

Frontal headache
Facial pain
Nasal discharge

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5
Q

What is the treatment for sinusitis?

A

antibiotics

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6
Q

What are the complications associated with sinusitis?

A

Cerebral abscess

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7
Q

What is Quinsy?

A

Peritonsillar abscess.

A complication of acute tonsillitis

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8
Q

What causes quinsy?

A

Streptococcus

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9
Q

What are the signs for quinsy?

A

Pus around the outside of the tonsil

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10
Q

What is trismus?

A

Motor disturbance of the trigeminal nerve

Spasm of the masticatory muscles with difficulty in opening the mouth

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11
Q

What is the treatment for a peritonsillar abscess?

A

Penicillin
Drainage
Tonsillectomy

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12
Q

What is epiglottitis?

A

Acute inflammation in the supraglottic region of the oro - pharynx
Common in children 1 - 5 yrs

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13
Q

What causes epiglottitis?

A

H. influenzae

S. pneumoniae

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14
Q

What is the treatment for epiglottitis?

A

Secure airway
02
antibiotics

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15
Q

What is stridor?

A

A high pitched sound resulting from turbulent air flow in the upper airway
Inspiratory, expiratory or both

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16
Q

What is pneumonia?

A

Inflammation of the lung parenchyma, usually caused by infection
Acute illness
Cough, fever, pain

17
Q

What organisms cause pneumonia?

A

S. pneumoniae
H. influenzae
Influenza A, B
S. aureus

18
Q

How do you assess severity of a respiratory problem?

A
CURB 65
confusion
urea
RR over 30
BP high
65 yrs and over
Score = 0-1 - low risk, 2+ high risk
19
Q

How do you treat pneumonia?

A

Antibiotics
02
fluids
analgesia

20
Q

What are the complications associated with pneumonia?

A
resp failure
multiple organ failure
DVT/ PE
lung abscess
empyema
bronchiectasis
21
Q

What is asthma?

A

Reversible, variable, inflammatory, hyperactive reaction

22
Q

What are the symptoms of asthma?

A
wheeze
SOB
tight chest
cough
Tend to be worse at night, in cold, after exercise
23
Q

What is COPD?

A

Irreversible inflammatory progressive airway obstruction

24
Q

What are the symptoms of COPD?

A
SOB
cough
sputum
muscle wasting
weight loss
fatigue
resp failure
25
Q

What are the signs of COPD?

A
pursed lips
high RR
cyanosis
barrel chest
use of accessory muscles to breath
ankle swelling