Year 1 buzzwords Flashcards
Stony dull to percussion
Pleural effusion
Right-sided pleuritic chest pain
Pneumonia
Alveolar Bat’s Wings, Kerley B lines, Cardiomegaly, Dilated prominent upper lobe vessels, Pleural Effusion
Pulmonary oedema
Ground glass appearance on X-ray
Pulmonary fibrosis and RDS of the newborn
Ziehl-Nielson positive for acid fast bacilli
TB
Caseous necrosis
TB
Apical disease
(most likely TB; apical lesion Assmann focus)
Miliary Tuberculosis
Spread of organism into bloodstream - if into pulmonary artery it spreads into the lungs, if in pulmonary vein it spreads to liver, spleen, kidneys
Positive anti-glomerular basement membrane antibodies
Goodpasture’s Syndrome
Chest infection with bird as pet
Chlamydophilia psittaci
Dry cough & diarrhoea after holiday abroad, some water involved
Legionella pneumophilia (test for urinary antigen)
“Tall, thin young man who indulges in marijuana”
Pneumothorax (Marfan’s)
Bilateral hilar lymphademopathy, erythema nodosum, granulomas, fatigue, uveitis, weight loss
Sarcoidosis
Bronchiole wider than neighbouring arteriole on CT (AKA Signet Ring sign)
Bronchiectasis
“D-sign on Xray”
Empyema
“Steeple sign” on X-ray
Croup / laryngotracheobronchitis
Child with barking cough
Croup
Pneumocystis pneumonia
HIV (treat with co-trimoxazole, and prednisolone if severe)
Asthma + Nasal Polyps + Salicylate Sensitivity
Samter’s Triad
Alcoholic in danger of aspiration pneumonia - likely organism?
Klebsiella pneumoniae
Mucoid sputum
Chlamydia psittaci
Rusty sputum
Pneumoccoccal pneumonia
Cannonball metastases and haematuria
Primary renal cell cancer
Morning headache cause
Hypercapnia or nitrate side effects
ACTH secreting lung tumour
Small cell carcinoma
PTH secreting lung tumour
Squamous cell carcinoma
Increased serum ACE and Ca2+
Sarcoidosis
Eggshell calcification at hilar regions
Silicosis
“Heart failure cells” in alveolar spaces
Macrophages absorbed haemosiderin found in pulmonary oedema secondary to left ventricular failure
Ghon focus
Tuberculosis
Coin lesion on CXR
Primary bronchial or lung carcinoma
Ptosis, enopthalmos, miosis and lack of sweating on ipsilateral side of sweating
Horner’s Syndrome / Pancoast’s tumour
Thumbprint sign on X-ray
Epiglossitis
Inspiratory whoop/barking cough
Pertussis
Snow storm appearance on X-ray
Baritosis, silicosi
Management of infective COPD exacerbation
iSOAP (ipratropium, salbutamol, oxygen, amoxicillin, prednisolone)
Non smoker + lung cancer likely cancer type
Adenocarcinoma
Diagnose of PE with
High DDIMER, CTPA or VQ scan