Triggers for COPD Flashcards
CT with bronchial wall thickening and ballooned or honey comb appearance
bronchiectasis
sputum culture and bronchoscopy for diagnosis.
bronchiectasis
treated with surgical resection and lung transplant if severe
bronchiectasis
mucolytic therapy, chest physiotherapy and bronchodilators are used in what
bronchial hygiene for bronchiectasis
MC in obese asians and african americans
OSA
first line diagnostic for OSA
polysmography
mainstay treatment for OSA
CPAP or APAP
possible treated w macrolides, 2nd/3rd gen cephs, resp flouroquinolones and augmentin
acute COPD exacerbation
expiration with pursed lips, hyperresonant percussion, wheezing and rales
COPD - emphysema
What CAPTURE score is clinically significant
2-4 indicates screening for COPD
Increased JVP
Chornic bronchitis
hepatomegaly
chronic bronchitis
peripheral edema
chronic bronchitis
serum alpha 1 antitrypsin
used as diagnostic study in COPD
BNP/NT-porBNP
labs recommended for COPD
long narrow heart shadow is seen in what diagnosis
COPD - emphysema
what is diagnostic criteria for chronic bronchitis
> 3+ months over 2 years
how low does FEV1 have to be to consider DLco testing
FEV<50%
which test determines severity of breathlessness
mMRC
what patients is supplemental oxygen beneficial for in COPD amnagement
patients with severe, chronic, resting arterial hypoxemia
has SE of Cardiac arrhythmias
SABA
has SE of metallic taste
SAMA
has SE of dry mouth and eyes
SAMA
which LABA is only available in nebulizer form
Arformeterol
which LABA is QD
Arformeteral
which LAMAs are BID
alcinidium and glycopyrrolate
what COPD group is treated with ICS?
group E, only if eosinophils are above 100 and less than 300
treatment for Group A COPD
single BD
which medication is associated with prostatic symptoms
SAMA
destruction of air spaces distal to the terminal bronchioles
emphysema
PDE4-inhibitor
roflumilast
CI in psych patients
roflumilast
non-specific phosphodiesterase inhibitor
theophylline
concern for hepatic impairment
theophylline
when would you use steroids and abx in COPD
management of acute exacerbation
target spO2 for acute COPD exacerbation patients
88-92% to prevent air trapping
protects lungs from neutrophil damage
alpha 1 antitrypsin
early onset emphysema
ATT1 deficiency
associated with symptoms of chronic liver disease
ATT1 deficiency
panniculitis is seen in what diagnoses
ATT1 deficiency
hot and painful nodules on thigh/buttocks
panniculitis (associated with ATT1 deficiency)
can be treated with donor infusions
ATT1 deficiency
tram tracks on CXR are indicative of what disease
bronchiectasis
when is hypoglossal nerve stimulation used
OSA
thick foul smelling purulent sputum
bronchiectasis
gross….
increases diaphragm contraction force
theophylline
when would we see hemoptysis in COPD
with acute exacerbation
used to reduce inflammation and aid in pulmonary remodeling
roflumilast
