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12 Cards in this Set
- Front
- Back
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Hepatopulmonary syndrome |
Platypnoea - SOB when sitting upright, relieved by lying flat. Due to abnormal dilatation of pulmonary capillaries, causing overperfusion of lung bases (therefore leading to VQ mismatch) Pleural effusion |
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Lower zone Vs upper zone cxr changes |
Upper zone - CASSET Lower zone - BAD RASH |
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Legionnaire |
Hyponatremia Deranged LFT Proteinuria Bibasal consolidation Nausea/vomiting, diarrhoea
Quinolone (ciprofloxacin etc) most effective, if concerned re risk of tendon rupture may also consider macrolide |
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Lung function test + flow volume loop interpretation |
Study |
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Pneumonectomy contraindications |
FEV1 < 0.8 is absolute contraindication |
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Aspergilloma treatment |
Lobectomy If poor ASA, opt for bronchial artery embolization (due to the risk of aspergilloma invading bronchial artery) |
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Asthma ladder |
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COPD algorithm |
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Aspergillosis diagnosis |
Silver stain microscopy eg gridley or gomori methenamine silver Galactomannan test for invasive aspergillosis |
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Amiodarone toxicity |
Small pleural effusion Interstitial pneumonitis |
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P. Jirovecii pneumonia (PJP) |
Exercise-induced oxygen desaturation Diagnose with sputum PCR or BAL fluid. AVOID bronch biopsy due to increased risk of pneumothorax in PJP when the cysts rupture
Treat with high flow oxygen, co-trimoxizole, and if PaO2 <9.5 add prednisolone |
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Bronchial artery aneurysm |
Silicosis, CF, bronchiectasis etc CTPA |
