Respiratory Patho Flashcards

1
Q

what is asthma and what causes it

A

reversible bronchospasm due to hypersensitivity of bronchi
-bronchial mucosa inflammation and contraction of bronchial smooth mm

presents with paroxysms of shortness of breath and wheezing worse at nights

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2
Q

What can be found in asthma sputum

A

Curschmann Spieles and Charcot leyden crystals

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3
Q

what is bronchiectasis and what is it due to

A

chronic dilation of bronchi due to bronchial obstruction by mucus plus

-copius foul smelling mucupurulant sputum early in mornings

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4
Q

what is kartageners syndrome and what is the triad of symptoms

A

immotile cilia

-chronic sinusitis
-bronchiectasis
-situs inversus

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5
Q

What is atelectasis and what is it caused by

A

collapse of or incomplete expansion of alveoli
compression- due to pleural effusion/pneumothorax
resorption- collapse due to obstructed branchus
contraction- due to interstitial fibrosis and loss of elastic recoil (tb)

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6
Q

What is emphysema

A

‘pink puffer’
-alveolar wall destroyed, loss of recoil, good oxygenation

-either smoking related or a1-antitrypsin def

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7
Q

Chronic bronchitis - pres and cause

A

‘blue bloater’ and tend to be overweight
-chronic cough>3m for atleast 2 years

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8
Q

What is lobar and bronchopneumonia

A

lobar- inflammation of a lobe with grey and red hepatization

bronchopneumonia- patchy inflammation of both lungs at base

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9
Q

what causes interstitial pneumonia (2)

A

mycoplasma or chlamydia pneumonia

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10
Q

when does pneumocystis juroveci pneumonia occur

A

opportunistic inf by pneumocystis jirovecia (AIDS pts)

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11
Q

mc organism causes of lung abscess

A

staph aureus and klebsiella pneumoniae

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12
Q

What is pneumoconiosis

A

occupational lung disease

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13
Q

what is sarcoidosis and what is it caused by

A

Type IV hypersensitivity run
-non caseous granulomas with epitheliod macrophages

-causes bilateral hilar lymphadeonopathy and pulmonary fibrosis- dyslexia and dry cough

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14
Q

what is a goon complex

A

peripheral goon focus with invokbement of regional lymph node (seen in primary TB)

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15
Q

what is the mc lung cancer

A

Bronchogenic carcinoma

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16
Q

what s/s can be seen with a pancoast tumor

A

Horners syndrome due to damage of sympathetic trunk

17
Q

What is pneumothorax and types

A

air within the pleural cavity

spontaneous- no prev underlying lung disease
secondary- traumatic
Tension- trapped air in pleural space can’t escape causing mediastinal shift away from affected side

18
Q

When is exudate vs transudate pleural effusion seen

A

exudate- pneumonia, TB, lung cancer, pulmonary embolism

Transudate- CHF, nephrotic syndrome, renal failure, liver failure