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105 Cards in this Set

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1st step in asthma Tx
remove offending agent
bronchiectatic lung bugs
h.influenzae, s.aureus, pseudomonas
most common cause of hemoptysis
TB
hemoptysis, sinusitis, glomerulonephritis
Wegener's granulomatosis
dyspnea, hemoptysis, acute renal failure
Goodpasture's
S1-Q3-T3
classic PE finding on EKG
crunching sound occurring w/heartbeat
Hamman's sign (pneumomediastinum)
most common Sx of lung CA
chronic cough
lung CA not linked to smoking
bronchoalveolar CA
small cell lung CA Tx
chemotherapy (rapid mitotic rate)
small cell paraneoplastic syndrome
SIADH, Eaton-Lambert, ectopic ACTH
squamous cell paraneoplastic syndrome
PTH
non-small cell CA Tx
surgery (local), chemo (mets)
primary spontaneous pneumothorax etiology
male smokers, tall for wt
expiratory/inspiratory chest film more sensitive for pneumothorax
expiratory!
chronic cough
>3 wks
V/Q mismatch responds to...
supplemental oxygen
CO poisoning does/doesn't cause cyanosis
does not
hypoventilation scenarios
apnea, Guillan Barre, MG, ALS
most important determinant of oxygen delivery to tissues
Hb
light's criteria for exudate
pleural:serum protein >0.5
pleural:serum LDH > 0.6
pleural LDH > 2/3 nl
transudate etiologies
CHF, cirrhosis, nephrosis
exudate etiologies
tumor, trauma, infection
low glucose in pleural fluid
RA, empyema, tumor, TB
high amylase in pleural fluid
renal failure, esophageal rupture, tumor, pancreatitis
pneumonia that looks worse than it is
mycoplasma pneumoniae
currant jelly sputum
Klebsiella
post-influenza pneumonia bug
pneumococcus
bulging fissure bug
klebsiella
high serum LDH bug
PCP
small gram (-) rods + halo
h.flu
adequate sputum sample
<10 epithelial cells, >25 leukocytes hpf
community-acquired pneumonia Tx
macrolide
2nd/3rd-gen ceph (high risk)
pneumonia bugs causing bradycardia
legionella, salmonella, chlamydia psittaci
indication for steroid Tx for PCP
A-a > 35
PaO2 < 75
leading cause of death worldwide
TB
pregnant women & TB Tx
wait until after delivery (unless high risk)
status epilepticus + TB
INH toxicity
TB drug discoloring contact lens
rifampin
optic neuritis TB med
ethambutol
pink puffers
emphysema
blue bloaters
chronic bronchitis
only Tx for COPD to extend life
supplemental oxygen
asthmatic in respiratory distress w/nl ABGs
impending respiratory failure; need to intubate
cough 1st work-up step
CXR
pertussis immunity lasts...
12 yrs
massive hemoptysis
bleeding > 600 ml in 48 hrs
DVT dx gold standard
angiography
ischemic bowel dz dx gold standard
angiography
sudden onset severe SOB + pleuritic CP
primary spontaneous pneumothorax
pneumomediastinum
alveolus/bronchus/trachea rupture
mediastinitis tx
high-dose penicillin, cipro, doxy
horner's syndrome
enopthalmos, ptosis, miosis, ipsilateral anhydrosis
byssinosis
cotton dust exposure
farmer's lung IgX
IgG
facial swelling, dyspnea, cough, headaches, epistaxis, syncope
SVC syndrome
ARDS Tx
oxygen does not work
mechanical ventilation w/PEEP
ARDS Dx
1.PaO2/FiO2 < 200
2.B/L fluffy infiltrates
3.no CHF
dilation of medium-sized airways
bronchiectasis
hemopytsis Tx
1.supplemental oxygen
2.bleeding side down
3.suppress cough (codeine)
pulmonary fibrosis
V/Q mismatch
improper oxygen utilization
diptheria toxin, cyanide
"cherry red" discoloration of lips & nails
CO poisoning
egophony
1.consolidation
2.compressed lung above pleural effusion
parapneumonic effusion
WBC>10,000 high PMNs
always exudates
pleural effusion WBC > 100,000
empyema
chest wall disorders
restrictive lung disease
HIV + diffuse B/L infiltrates
PCP
community acquired (atypical)
1.chlamydia pneumonia
2.legionella pneumophila
3.mycoplasma pneumonia
hospital acquired
1.pseudomonas
2.staph aureus
3.enteric
community acquired (typical)
1.strep pneumoniae
2.h.flu
rusty sputum
pneumococcus
HIV, CD4 < 500
TB
HIV, CD4 < 200
PCP, histo, crypto
HIV, CD < 50
MAC, CMV
loeffler's pneumonia
idiopathic eosinophilic pneumonia
most TB infected people
disease free
anergy test
1.mumps
2.candida
INH toxicity antidote
pyridoxine
pts taking INH need to check ? every month
LFTs (hepatitis risk)
centrilobular emphysema
respiratory bronchioles
panlobular/panacinar emphysema
alpha-1-trypsin deficiency
distal acinar emphysema
spontaneous pneumothorax
alpha-1-antitrypsin deficiency inheritance
autosomal recessive
hyperinflated lungs, flattened diaphragm
emphysema
MAT, R-strain
emphysema
emphysema / chronic bronchitis:
wt loss / CO2 retention
emphysema - wt loss
chronic bronchitis - CO2 retention
severe asthma = wheezing yes/no?
no wheezing (severe asthma)
MDI / nebulizer reach smallest airways better?
MDIs deliver smaller particles
temporary hyperK+ Tx
beta-2 agonists
permissive hypercapnia
allow pt to have high CO2 while intubated to increase expiratory phase & prevent breath stacking
dries up bronchial secretions
ipratropium
obstructive sleep apnea
>=5 episodes
farmer's lung Tx
steroids
>15mm induration (TB test)
everyone (+)
>10mm induration (TB test)
(+) if high-risk pop'n
anterior mediastinum massees
1.thymoma
2.teratoma
3.thyroid
4.terrible lymphoma
pleurodesis
artifical obliteration of pleural space
lung CA more common in women
bronchoalveolar
sympathetic nerve paralysis
Horner's syndrome
injured CN8, 1st & 2nd thoracic nerves & ribs, shoulder pain radiating to arm
pancoast's syndrome
lung CA responding to radiotherapy
small cell
immunocompromised, chronic steroid use
1.TB
2.nocardia
always requires chest tube
1.empyema
2.+ cultures
3.loculated effusion
preventive asthma meds
1.leukotriene modifiers
2.mast cell stabilizers (cromyln)