Screening for Pulmonary Disease Flashcards
What are common sx reported to PT?
cough (productive or non), resting dyspnea or orthopnea, chest pain, altered breathing pattern, abnormal sputum, hemoptysis
What are most common pulmonary dz that mimics MS dz?
PNA, PE, pleurisy, pneumo, PA HTN, lung CA
What type of risk factors would warrant a pulmonary screen?
over 40, smoking, PMH of cancer or TB, recent URI, older pts with shoulder pain and confusion
What are other less thought of risk factors?
occupational lung dz, GSW, stabbing, rib fracture, scuba diving
What is PNA?
inflammation/infection of the lung
What are risk factors to get PNA?
URI with smoking, poor health
kids or aging adults
What are sx and symptoms of PNA?
fever, cough, shoulder, low back or thoracic pain
aging adult with confusion
Who is at risk for TB?
recent travel to former soviet union or central asia
sx not till later but like PNA
What is a PE?
blood clot traveling to lungs from a DVT
emergent referral
What are sx of PE?
Dyspnea, sharp localized pain, persistent cough, hemoptysis, anxiety, tachy, fever
What is the simplified Wells for PE?
DVT sx- leg swelling, pain, HR over 100
immobilization for 3 days or recent surgery, hemoptysis, malignency
What is score that a PE is likely?
2 or more
What is pleurisy?
inflammation of pleura hx of SLE, RA or recent infection
What are sx of pleurisy?
chest pain, cough, dyspnea, fever, tachypnea
What are sx of pneumo?
dyspnea, unilateral resp wall mvmt, sudden/sharp chest pain, neck vein distention, tachy, BP drop
sitting upright decreases sx
What can cause a pneumo?
trauma, GSW MVA, scuba diving, overexertion, surgery
What are sx of PA HTN?
causes R heart failure
progressive dyspnea, peripheral edema, cough, chest pain
What are risk factors for lung cancer?
over 50
SMOKING, air exposure to toxins, previous lung dz
What are common metastatic sites of CA?
long bones (look for fractures w/o trauma), spine, liver, brain
What is a pancoast tumor?
apical lung tumor causes C8-T2 symptoms
looks like TOS or brachial plexus injury but always in smokers
What are sx of lung cancer?
hoarseness/dysphagia
weight loss greater than 10% in 1 month
rule out with chest xray
What is respiratory acidosis?
CO2 retention common in COPD or PNA
What are sx of RA?
confusion, sleepiness, diaphoretic, shallow rapid breath, restless
med emergency
What are emergent referrals?
sudden onset dyspnea with tachy, weak pulse and fall in BP
chest pain following scuba diving
RA
lung CA with status change
