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RSNOTES > Stages > Flashcards

Stages Flashcards

1
Q

Obstructive Sleep Apnoea Severity:

A 
Desaturation rate / AHI:-
0-5	Normal
5-15	Mild
15-30	Moderate
>30	Severe
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2
Q

Moderate Asthma

A 
Moderate 
Essentially increasing symptoms, no features of severe
Able to speak, complete sentences
HR <110
RR <25
PEF 50 - 75% predicted or best
SaO2 > 92% (no need for ABG)
PaO2 > 8kPa
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3
Q

Severe Asthma

A 
Severe
Any one of 
Unable to speak, unable to complete sentences 
HR >110
RR >25
PEF  33 - 50% predicted or best
SaO2 > 92% 
PaO2 > 8kPa
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4
Q

Life threatening Asthma

A 
Life threatening
Any one of
Grunting
Impaired consciousness, confusion, exhaustion
HR >130, or bradycardic
Hypoventilating
PEF < 33% predicted or best
Cyanosis

SaO2 < 92%
PaO2 < 8kPa
PaCO2 normal (4.6 - 6.0kPa)

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5
Q

Near Fatal Asthma

A

Near Fatal

Raised PaCO2

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6
Q

Stages and associated remission rates of Sarcoidosis = Stage 1:

A

Stage 1 = 55-90%

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7
Q

Stages and associated remission rates of Sarcoidosis = Stage 2:

A

Stage 2 = 40-70%

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8
Q

Stages and associated remission rates of Sarcoidosis = Stage 3:

A

Stage 3 = 10-20%

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9
Q

Stages and associated remission rates of Sarcoidosis = Stage 4:

A

Stage 4 = 0%

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10
Q

Score 0-1 Pneumonia

A

0-1 low risk - could be treated in community

Risk of death < 3%

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11
Q

Score 2 Pneumonia

A

2 moderate risk - hospital treatment usually required.
Risk of death = 9%

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12
Q

Score 3-5 Pneumonia

A

3-5 high risk of death and need for ITU

Risk of death = 15-40%

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13
Q

Pneumonia Scoring System

A 
CURB 65
C		confusion
U		blood urea > 7mmol/L
R		respiratory rate ≥ 30/min
B		systolic BP < 90 mmHg, diastolic blood pressure < 60mmHg
65	age ≥ 65
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14
Q

Treatment CURB 0 – 1

A

Antibiotic: Amoxicillin
Penicillin Allergy: Clarithromycin or Doxycycline
Duration: 5 days

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15
Q

Treatment CURB 2

A

Antibiotic: Amoxicillin + clarithromycin (atyp)
Penicillin Allergy: Levofloxacin
Duration: 5-7 days

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16
Q

Treatment CURB 3 – 5

A

Antibiotic: Co-amoxiclav + clarithromycin (atyp)
Penicillin Allergy: Levofloxacin or Co-trimoxazole
Duration: 7-10 days.

17
Q

Pneumonia supportive management and route consideration:

A

IV v Oral
Oxygen, fluids (IV or oral)
Antipyretics, NSAIDs
Intubation and ventilation

18
Q

Tumour stages of Lung Cancer:

A

T1, T2, T3, T4

19
Q

T1

A

= < 3 or
= Tumour ≤ 3 cm in greatest dimension,
surrounded by lung or visceral pleura
= NO bronchoscopic evidence of involvement
of the X main bronchus X

  • T1a minimally invasive adenocarcinoma
    Tumor <=1 cm in greatest dimension
  • T1b Tumor <=2 cm
  • T1c<=3 cm
20
Q

T2

A

Tumour >3 cm but 5 cm or
tumour with any of the following
features (T2 tumors with these features are classified T2a if ≤5 cm)

  • Involves main bronchus, but NOT X carina X
  • Invades visceral pleura
  • Associated with atelectasis or obstructive
    pneumonitis that extends to the hilar region
    involving part or all the lung

– T2a Tumor >3 cm but <4 cm in greatest
dimension
– T2b Tumor&raquo_space;4cm but <5 cm in greatest
dimension

21
Q

T3

A

Tumour >5 cm but <7cm or one that
directly invades any of the following:

  • chest wall (including superior sulcus tumors)
  • phrenic nerve
  • parietal pericardium
    or
  • separate tumor nodule(s) in the SAME LOBE as the primary
22
Q

T4

A 
Tumour >7cm or invades 
any of the following:
Diaphragm
MEDIASTINUM *
heart
great vessels
trachea
recurrent laryngeal nerve
esophagus
vertebral body
CARINA *
separate tumour 
nodules in a different ipsilateral lobe
23
Q

Node & Metastatic (N & M) stages of Lung Cancer?

A

N0, 1, 2, 3,

M0, 1, 1a, 1b, 1c.

24
Q

N0

A
  • No regional lymph node

metastases

25
Q

N1

A
  • Ipsilateral peribronchial
  • Hilar
  • Intrapulmonary nodes
  • Including by direct
    extension
26
Q

N2

A
  • Ipsilateral mediastinal

- Subcarinal

27
Q

N3

A
  • Contralateral mediastinal
  • Contralateral hilar
  • Scalene
  • Supraclavicular
28
Q

M0

A

No distant metastasis

29
Q

M1

A

Distant metastasis

30
Q

M1a

A

NEAR
Separate tumour nodule(s) in a contralateral lobe
Tumour with pleural or pericardial nodules
or malignant pleural or pericardial effusion

31
Q

M1b

A

1 DISTANT

- single distant metastasis

32
Q

M1c

A

> 1 DISTANT

- multiple distant metastases

33
Q

Stage IV Cancer

A

any T any N M1

5 year prognosis = 1%

34
Q

COPD Stage 1: Mild

A

FEV1 = or > 80% predicted

35
Q

COPD Stage 2: Moderate

A

FEV1 = 50-79% predicted

36
Q

COPD Stage 3: Severe

A

FEV1 = 30-49% predicted

37
Q

COPD Stage 4: Very Severe

A

FEV1 < 30% predicted

RSNOTES (53 decks)

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