Symptomatology In Pulmonolog Flashcards

1
Q

What are the most common signs and symptoms of respiratory tract diseases?

A
  • cough
  • adventitious breathing sounds
  • dyspnea
  • haemoptysis
  • chest pain
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2
Q

What causes a cough?

A

Defensive reflex

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3
Q

What is the job of a cough?

A

Clear the airways from: mucus, foreign bodies etc

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4
Q

Where do we find the cough reflexes?

A
  • posterior wall of the throat
  • larynx
  • tracheal wall
  • bronchial wall
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5
Q

Is the cough a symptom or an illness?

A

Symptom

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6
Q

How do we classify a cough by duration?

British thoracic society

A
  • acute (less than 3 weeks)
  • subacute (3-8 weeks)
  • chronic (more than 8 weeks)
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7
Q

How do we classify a cough by duration?

Australian and american college chest physicians

A
  • acute (less than 4 weeks)

- chronic (more than 4 weeks)

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8
Q

What is recurrent cough?

A
  • lasting 7-14 days
  • non-releated with infection
  • appearingat least 2/year
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9
Q

What is post-infectional cough?

A
  • lasting 3-8 weeks

- releated to infection

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10
Q

More cough classification:

A
  • dry
  • productive
  • barky
  • woth dyspnea and/or stridor
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11
Q

Acute cough - causes

A
  • infection of respiratory tract
  • rhinovirus, adenovirus, coronavirus, influenza and parainfluenza virus, RS virus
  • bacteria (str. Pneumoniae, H. influenzae, M. and Chl. Pneumoniae)
  • less common cause - i.e. B. pertussis
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12
Q

Acute cough - other causes:

A
  • foreign body aspiration
  • pneumothorax
  • allergic reaction
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13
Q

Subacute cough

A
  • post-nasal drip syndrome
  • enlarged adenoid tissue
  • recurrent UTI infection
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14
Q

Chronic cough:

A
  • infection
    • recurring URT infections
    • bacterial infection
    • TB
  • Asthma
  • GER/GERD
    _______
  • CF
  • PCD
  • ILD
  • Malignant lesion
  • cardiovascular disorder
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15
Q

Describe the clinical findings of asthma:

A
  • dry
  • not releated to infection
  • co-presented with dyspnea
  • seasonal symptoms
  • normal chest x-ray
  • wheezes on auscultation
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16
Q

What are the types of wheezes?

A
  • stridor
  • wheezes
  • sometimes both are present
17
Q

Stridor:

A
  • on inspiration

- problem in the upper airways

18
Q

Wheezes:

A
  • on expiration

- narrowing of the bronchi

19
Q

Stridor - causes:

A
  • viral infection - croup

* bacterial - epiglotitis

20
Q

How is the dyspnea newborn and infants?

A
  • accessory breathing muscles involvment
  • grunting
  • tachypnea
  • difficulities breathing
  • cyanosis
21
Q

How is the dyspnea in older children?

A
  • tachypnea
  • ortopnea
  • accessory breathing muscle involvment
  • difficulitites speaking (speaks in words instead of full sentences)
  • tachycardia
  • cyanosis
22
Q

Dyspnea on inspiration:

A
  • Typically upper respiratory tract

- Co-existing with stridor

23
Q

Dyspnea on expiration:

A
  • Typically lower reepsiratory tract

- Co-existing with wheezes

24
Q

Causes of acute dyspnea:

A
  • asthma
  • pneumothorax
  • anafilactic shock
  • trauma
  • heart failure
  • foreign body aspiration
25
Q

Causes of chronic dyspnea:

A
  • chronic lung disease
  • cardiovascular diseases
  • pressure from abdominal cavity
  • chest wall deformation
  • anemia
  • neuromuscular disorder
26
Q

True haemoptysis:

A

Source in resporatory tract

27
Q

Supposd haemoptysis:

A

Source not in respiratory tract

28
Q

Chest pain in children and adolescent is……

A

usually non-heart releated

29
Q

What is the most common cause of chest pain in children and adolescent?

A
  • muscles (chest wall)

- co-existing with RTI’s (excessive cough) pr GTI’s (excessive vomiting)

30
Q

For differential diagnosis - for chest pain in children and adolescent?

A
  • chest x-ray

- ECG

31
Q

Chest pain - causes in respiratory tract:

A
  • tracheitis, bronchitis, penumonia, pulmonary effusion
  • pneumothorax
  • pulmonary embolism
  • asthma exacerbation
  • foreign body aspiration