SOB Flashcards

1
Q

Risk factors for PE

A
  1. Venous statsis
  2. recent surgery ortho
  3. Trauma
  4. H/O a Dvt
  5. age>40
  6. hyper coagulability
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2
Q

Symptoms of a PE

A
  1. Pluretic chest pain
  2. Dyspnea
  3. tachypena
  4. Apprehension
  5. Cough
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3
Q

Physical finding s with a PE

A
  1. Rales over the involved area
  2. Tachypnea
  3. pleural friction rub
  4. Decreased breath sounds
  5. S3 possible
  6. Low grade temp.
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4
Q

Diagnostic test most sensitive to a PE

A

D dimer

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5
Q

ABG with a PE would show

A

Alkalosis r/t hyperventilation

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6
Q

Acute an acute spontaneous thorax happens with

A

Young thin males

elderly

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7
Q

Chest exam look like with Acute spontaneous pneumothorax be

A

Decreased breath sounds
decreased tactile fermitius
increased resonance
Possible medialstinal shift

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8
Q

ABGS: with Spontaneous Pnewmo

A

Hypoxia

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9
Q

CXR with Spontaneous Pnewmo

A

visceral plural with expiration

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10
Q

What is COPD

A

Abnormal permanent enlargement of the airspace distal of the terminal bronchioles.

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11
Q

Chest exam with COPD would find

A
  1. Hperresonnace to percussion
  2. Decreased breath sounds
  3. Prolongation of expiratory wheezes
  4. Faint expiratory wheezes
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12
Q

Chronic Bronchitis is

A

Enlargement of the tracheobronchial mucus glands

inflammation and bronchial wall thickening.

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13
Q

CXR with Chronic Bronchitis

A

increased markings no hyperinflation

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14
Q

ABGs with Chronic bronchitis are

A

Moderate to severe hypercapnia
hypoxemia
acidosis

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15
Q

Chest exam with chronic Bronchitis would look like

A

Resonance
rhonchi
wheezes

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16
Q

Heart failure occurs when

A

Injury to the heart
Cardimyopathy
Myocarditis

17
Q

Cardiac exam with CHF could sound like

A

diminished S1
,increased S2
S3
parasternal lift

18
Q

Lung sound with CHF

A

Crackles at the bases
pleural effusions
dullness with percussion
expiratory wheezes and rhonchi

19
Q

Abdominal exam for CHF

A

Acites
HJR
+JVD
Hepatic enlargement

20
Q

What type of peripheral edema would your expect to find with CHF

A

Prescral
scrotum
extremities lower 1-4+ pitting

21
Q

With CHF the ECHO would show

A

EF