Shortness Of Breath COPY Flashcards
Signs of dyspnea in pediatric patients
. Nasal flaring
. Retractions
Signs of dyspnea in adult patients
. Accessory muscle use
. Tripod position
Non-adherence to medications can trigger ____
Acute decompensation of chronic disease
Orthopnea is assoc. w/ what disease?
Heart failure
Paroxysmal Nocturnal Dyspnea is assoc. w/ what disease?
Heart failure
Weight gain and swelling in ankles/legs assoc. w/ dyspnea can be caused by what disease?
Heart failure
Highly suggestive signs assoc. w/ dyspnea
. Dullness to percussion of lungs (pneumonia, pleural effusion) . Rales in lungs . S3 galllop . Edema of lower extremities . JVD
Abnormalities of lung parenchyma causing rales
. Pneumonia . Interstitial lung disease . Pulmonary fibrosis . Pulmonary edema . Atelectasis (clear w/ cough)
Abnormalities of airways that can cause rales
. Bronchitis (clear w/ cough)
. Bronchiectasis
Fine crackles
. Sudden inspiratory opening of small airways held closed by surface forces during previous expiration
Coarse crackles
. Bonuses of gas passing through airways as they open and close intermittently
S3 gallop
. Extra heart sound during diastole (when heart is filling)
. Inc. blood volume causes fluid overload and heart failure
Pitting edema
. Fluid overload
. Occurs during prolonged standing, immobilization, venous insufficiency, HF,and drugs (CCB)
. Caused by nephrotic syndrome, cirrhosis, and malnutrition
Nonpitting edema
. Impaired lymph drainage
. Caused by: tumor, fibrosis, inflammation, lymph node disruption, capillary leak, hypothyroid (myxedema)
Internal jugular pulsation
. Rarely palpable . Inward deflection . Eliminated by light pressure . Height changes w/ position . Height falls w/ inspiration
Carotid artery pulsation
. Palpable . Single outward movement . Not eliminated by light pressure . Height unchanged by pulsation . Height not effected by inspiration
Measuring jugular venous pressure
. Over 8 cm above sternal angle is abnormal
. Measure w/ right internal jugular because it is a direct drop into right atrium at whatever angle is needed to see highest point of pulsation of right jugular vein (doesn’t change w/ position)
Measuring jugular venous distension
over 3cm above sternal angle is abnormal
Etiology of evaluated JVP
. Elevated right atrial pressure sign of HF or left Heart abnormality
.
Neuromuscular differential for dyspnea
Myasthenia gravis
Lung differential for dyspnea
Pulmonary embolus, pneumonia, COPD
Blood differential for dyspnea
Anemia
Heart differential for dyspnea
HF, MI, aortic stenosis
Blood tests for HF
. BNP. CMP . CBC . TSH . Troponin . lipid panel . Urinalysis . GlycoHb
Imaging for HF w/ anatomical basis
. Chest X-ray (cardiomegaly, cephalization, Kelley B lines, pleural effusion)
. Echo
. Angio
Imaging for HF w/ physiological basis
. ECG
. Echo
. Stress testing
What on chest X-ray supports HF diagnosis
. Cardiomegaly
. Cephalization
. Kerley B line
. Pleural effusion