SOB Flashcards
Risk factors for PE
- Venous statsis
- recent surgery ortho
- Trauma
- H/O a Dvt
- age>40
- hyper coagulability
Symptoms of a PE
- Pluretic chest pain
- Dyspnea
- tachypena
- Apprehension
- Cough
Physical finding s with a PE
- Rales over the involved area
- Tachypnea
- pleural friction rub
- Decreased breath sounds
- S3 possible
- Low grade temp.
Diagnostic test most sensitive to a PE
D dimer
ABG with a PE would show
Alkalosis r/t hyperventilation
Acute an acute spontaneous thorax happens with
Young thin males
elderly
Chest exam look like with Acute spontaneous pneumothorax be
Decreased breath sounds
decreased tactile fermitius
increased resonance
Possible medialstinal shift
ABGS: with Spontaneous Pnewmo
Hypoxia
CXR with Spontaneous Pnewmo
visceral plural with expiration
What is COPD
Abnormal permanent enlargement of the airspace distal of the terminal bronchioles.
Chest exam with COPD would find
- Hperresonnace to percussion
- Decreased breath sounds
- Prolongation of expiratory wheezes
- Faint expiratory wheezes
Chronic Bronchitis is
Enlargement of the tracheobronchial mucus glands
inflammation and bronchial wall thickening.
CXR with Chronic Bronchitis
increased markings no hyperinflation
ABGs with Chronic bronchitis are
Moderate to severe hypercapnia
hypoxemia
acidosis
Chest exam with chronic Bronchitis would look like
Resonance
rhonchi
wheezes
Heart failure occurs when
Injury to the heart
Cardimyopathy
Myocarditis
Cardiac exam with CHF could sound like
diminished S1
,increased S2
S3
parasternal lift
Lung sound with CHF
Crackles at the bases
pleural effusions
dullness with percussion
expiratory wheezes and rhonchi
Abdominal exam for CHF
Acites
HJR
+JVD
Hepatic enlargement
What type of peripheral edema would your expect to find with CHF
Prescral
scrotum
extremities lower 1-4+ pitting
With CHF the ECHO would show
EF
