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10 Cards in this Set
- Front
- Back
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bilateral absence of vas deferens, think ?
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CF -- this is almost pathognomonic
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signs of CF
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nasal polyps, CHRONIC SINUSITIS
cor pulmonale bronchiectasis PANCREATITIS malabsorption LIVER DYSFUNCTION DIABETES infertility osteoporosis (from systemic inflammation) |
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3 inhaled therapies for CF
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pulmonzyme / dornase alphs - mucus thinner
hypertonic saline, dilutes thickened mucus tobramycin - for pseudomonas colonization |
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3 oral meds for CF
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azithromycin - for antiinflammatory effects; does not cover pseudomonas
pancreatic enzyme replacement--MUST USE BRAND NAME (let pt use home meds) PPI for GERD, adjunct for pancreatic enzymes |
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Discuss nutritional requirements in CF.
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Because of caloric expenditure of work of breathing, CF pts need 2-3 times usual caloric intake; they should also keep BMI low to help breathing.
Diabetics must NOT be put on caloric restriction!! |
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T/F CF patient must be screened for osteoporosis and watched for pulmonary HTN.
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true
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Acute chest pain in CF patient is ? until proven otherwise
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pneumothorax
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Tx of hemoptysis in CF
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potentially a medical emergency
ABC start on vitamin K and broad spectrum antibiotics TOC is bronchial artery embolization as soon as possible |
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Acute abdominal pain in CF patient, think of ?
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distal intestinal obstruction syndrome
"adult equivalent of meconium ileus" can lead to acute abdomen |
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male infertility + pulmonary dz = ?
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CF!
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