term1 Definition1term2 Definition2term3 Definition3
Please sign in to your Google account to access your documents:
Asthma step ladder management
Step 1: Inhaled SABA
Step 2: Inhaled steroid (200 -800)
Step 3 & 4: Inhaled LABA (3) > increase inhaled steroid to 800 to max (4)> Leukotriene receptor antagonists or theophylline SR.
Step 5: Steroid Tablets
Tension Pneumothorax
Presentation: acute respiratory distress, *raised JVP*, hypotension, +/- tracheal deviation
Management:
1. High flow O2.
2. Insert large bore cannula to 2nd intercostal space in the midclavicular line. Hissing sound is diagnostic
3. Chest drain in mid axillary line
Mesothelioma
Tumor of Pleura due to occupational exposure of asbestos
Presentation: Chest pain, Shortness of breath, weight loss +/- Metastasis (lymhadenopathy, hepatomegaly, bone pain, abd pain)
Inv: CXR or CT scan reveals pleural thickening or effusion. Dx by histology of pleural fluid, pleural biopsy and pleurodesis. Usually post mortem
Rx: Surgery and radiotherapy
Note: consult Coroner in case of "unnatural death" and he will give the final verdict and issue death certificate
Sarcoidosis
Lofgren syndrome
CXR: 1. Bilateral hilar lymphadenopathy
2. Erythema Nodosum: Lesion on the shin
3. Arthritis
Need help typing ? See our FAQ (opens in new window)
Please sign in to create this set. We'll bring you back here when you are done.
Discard Changes Sign in
Please sign in to add to folders.
Sign in
Don't have an account? Sign Up »
You have created 2 folders. Please upgrade to Cram Premium to create hundreds of folders!