signs, symptoms of lung diseases , pneumonia

Question 1

signs of lung disease

Answer 1

1. dyspnea, tachypnoe
2. cough, sputum
3. chest pain, tightness

Question 2

what questions are asked when diagnosing airway disease (4)

Answer 2

-beginning the symptoms
-duration of sypmtoms
-history the symptoms and variability
-connection of the different signs and symptoms

Question 3

when is the lung fully developed?

Answer 3

age 11

Question 4

pathologic dyspnea, tachypnoe types

Answer 4

> airways obstruction
a. primer
b. secunder

Question 5

primer pathologic dyspnea, tachypnoa causes

Answer 5

foreign body
wheezy bronchitis
asthma

Question 6

secunder pathologic dyspnea, tachypnoe causes

Answer 6

pneumonia
pulmonary embolisation
pulmonary oedema
congenital heart disease (esp right to left shunt, pulmonary artery vascular ring pathology causes cough ) (big adneoid with post nasal drip causes continuous cough

Question 7

mild asthma is it dangerous/lifethreatening?

Answer 7

yes because patients usually not well controlled, don’t take medications if they feel fine ;
if due to a certain cause they can end up in emergency room

Question 8

questions asked about dyspnea and tachypnoe

Answer 8

• onset time of symptoms
• changing during the day ( asthma)
• connection with physical excercise
  *feeding ( aspiration) - can be vascular ring
  *position of the body

Question 9

why 5 year is more vulnerable to infections?

Answer 9

in 5 year old child bronchus is tiny so any infection could cause production of mucus

Question 10

asthma diagnosis is given at what age?
why?

Answer 10

5 years because have to do lung function test

they have to hold breath; difficult

Question 11

new born large airways diameter normal vs croup

Answer 11

4 mm

2mm (x18 higher resistance)

Question 12

crying newborn resistance change of big airways

Answer 12

x32 resistance

Question 13

questions to ask when diagnosing cough, sputum

Answer 13

• changing during the day : night ( left heart failure ), or during
  the day , in the morning
• dry reflex cough foreign body , laryngitis, allergy etc ) or sputum production ( asthma, tbc,pneumonia etc
• Amount , color , quality of the sputum
  -black: small particules outdoor pollution
  -yellow high WBC bacterial infection
  high Eo count asthma
  -green : bronchiectasi s
  -red: haemoptoe

Question 14

yellow sputum does it indicate antibiotic treatment?

Answer 14

No bcz yellow indicate dead bacteria, wbc

dont give antibiotic nose drop to child

Question 15

how long can cough reach in metres

Answer 15

2 metres
droplet move forward and down

Question 16

pleuritis characteristic symtpms

Answer 16

changing with the movement of chest , cough , increasing when patient
change the position

Question 17

Catch syndrome

Answer 17

short period , causing pain during deep inhalation ,
spontaneously finishing pain

Question 18

Tietze syndrome

Answer 18

move sternum, child will have pain

costochondritis , pain in the small joints

Question 19

Obese patients costal pain

Answer 19

9 th cost go up in deep inspiration

• remove cost, pain goes away

Question 20

Shoulder pain

Answer 20

irritation of pleural diaphragma

Question 21

precordial pain

Answer 21

in mediastinal diseases , pericarditis, oesophagitis, myocardial
infarction

Question 22

Allergic diseases examples

Answer 22

• atopic dermatitis , ekzema
  -allergic rhinitis
  -reccurent UTI
  -blockade of nose

Question 23

why is family history important

Answer 23

because if mother has it they probably both genders have it
if father he usually passes it to sons

Question 24

family history questions

Answer 24

-
allerg y
-
reccurent airway disease with wheezing
-
reccurent cough bronchiectasi s , tbc stb

Question 25

removal of foreign body
rigid or flexible bronchoscopy

Answer 25

rigid