Respiratory Revision Night Flashcards
Which mnemonic should you used for reading an X-ray?
ABCDE Airway Breathing Circulation (heart) Diaphragm Everything else
Ddx for TB
Pneumonia
Lung cancer
Fungal infection
Sarcoidosis
Which 2 conditions cause bilateral hilar lymphadenopathy
TB
Sarcoidosis
Which organism causes TB
Mycobacterium tuberculosis
Risk factors TB
Travel/immigration Extremes of age Malnutrition Alcoholism Immunosuppressed (HIV, Steroids, DM) Previous gastric cancer Intravenous drug user
Presentation TB
Cough Sputum SOB Haemoptysis Pleuritic chest pain Malaise Fever Weight loss Night sweats
Describe pleuritic chest pain
Sharp, stabbing burning pain
More localised
Affected by respiration
Ix for TB
CXR Tuberculin Sputum Culture ZN STAIN!! FBC (WCC, CRP, ESR)
What are the 2 tuberculin TB tests
Mantoux
Heaf
Rx for TB
RIPE Rifampicin Isoniazid Pyrazanamide Ethambutol
All for 2 months
R and I for further 4 months
Total 6 months treatment course
Side effect of rifampicin
Iron bru pee
Side effect of Isoniazid
Hepatitis
Side effect of Pyrazanimide
Gout
Side Effect of ethambutol
optic neuropathy
for which disease is there a low threshold testing for in TB
HIV