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60 Cards in this Set

  • Front
  • Back
Most common cause of cancer death
Lung CA
Most common nosocomial infection causing death
Pneumonia
Most common pneumonia in the ICU caused by what
Gram NEGATIVE bacteria
Common cause of cough in immunocompetent nonsmokers not taking ACE-I
Postnasal drip, Asthma, & GERD
Most common cause of cough
URI
MCC of community-acquired pneumonia
Strep pneumoniae
Most common cause of atypical pneumonia
Mycoplasma pneumoniae
Most common acute cause of wheezing in children <2 y/o (especially 1-3 mo)
bronchiolitis
Most common cause of airway obstruction in children age 6 mo- 6 y/o & leading cause of hospitalization <4 y/o
Croup
Most common Chronic disease in children & adolescents
asthma
Most common site of metastasis of soft tissue sarcoma
lungs
Most common cause of spontaneous pneumothorax
rupture of a subpleural bleb
Most common opportunistic organism in HIV pts
Pneumocystis jiroveci (P. carinii)
Most common cause of acute bronchiolitis
RSV
Most common cause of acute epiglottiditis
Haemophilus influenzae type b (HiB)
Triad of PE symptoms
Chest pain
Dyspnea
Hemoptysis
Bergman's Triad (Fat emboli syndrome)
Mental status changes
Petechiae
Dyspnea
Symptoms of Systemic Inflammatoy Response Syndrome (SIRS)
Fever >38°C or <36°C
Heart Rate >90
Respiratory Rate >20 or PaCO2 <32
Abnormal WBC >12,000 or <4,000 or >10% bands
Samter’s TRIAD
Asthma
Aspirin sensitivity
Nasal/ethmoidal polyposis
Atopic TRIAD of Asthma
Wheeze
Eczema
Seasonal rhinitis
3 components of Asthma
Obstruction to airflow
Bronchial hyperreactivity
Inflammation of airway
CXR shows air bronchograms and diffuse bilateral atelectasis, causing a "ground-glass appearance".

DX?
Hyaline membrane disease (respiratory distress syndrome)
Hampton’s Hump on CXR is what?
Westermark Sign on CXR is what?

These indicate what condition?
Wedge shaped pleural-based density.

A decrease in pulmonary vascular markings due to decreased blood flow to the area.

Indicate a Pulmonary Embolism
S1 Q3 T3 on EKG is what?
Indicates what condition?
RBBB, right axis deviation, flipped T waves/ ST depression

Indicates a pulmonary embolism
Steeple sign opn CXR indicates what condition?
Croup
"Tripod position" indicates what condition?
Epiglottitits
What is the "Thumb sign" on X-ray?
Seen in what condition?
Swollen epiglottis seen on lateral neck x-ray

Indicates epiglottiditis
"Pink puffer" has what condition?

"Blue bloater" has what condition?
Emphysema

Chronic bronchitis
GOLD STANDARD to DX pneumonia
Infiltrates on CXR
Diagonstic evaluation to DX a PE?

GOLD STANDARD to DX a PE?
Spiral CT is diag eval


Pulmonary angiography is GS
GOLD STANDARD to DX a foreign body
Endoscopy
CXR shows visceral pleural line or a deep sulcus sign on supine film- seen in what condition?
Pneumothorax
Acute onset of a single episode of shaking with chills (rigor) and pleurisy. Also "rust-colored" sputum.
CXR shows lobar consolidation.
DX?
Strep pneumoniae pneumonia
"pneumoccocal pneumonia"
"Currant jelly" sputum in an alcoholic pt

DX?
Klebsiella pneumoniae pneumonia
Parenchymal bullae or subpleural blebs on CXR indicates what condition?
Emphysema
CXR honeycombing
Pulm fibrosis or bronchiectasis
A lung biopsy shows non-encaseating granulomas. what condition is this?

A lung bx shows caseating granulomas. DX?
Sarcoidosis

TB
"Hot potato" voice
peritonsillar abscess
Barking "seal-like" cough in what condition?
Croup
Triple layered or "3 phase" sputum seen in what condition?
Brochiectasis
Kerley B lines on CXR seen in what condition?
Pulmonary fibrosis or carcinomatosis
"Eggshell" calcification of hilar or mediastinal LN's on CXR.

DX?
Silicosis
"Curschmann spirals" (mucus casts in small airways)
seen in what condition?
Asthma
"Signet Ring" (thick bronchial walls) or "tram-track lung marking" on CXR

DX?
Bronchiectasis
Schaumann's bodies and asteroid bodies

ACE levels are elevated it pts w/ active disease. CXR shows bilateral hilar adenopathy and right paratracheal adenopathy. Lung BX shows non-encaseating granulomas.
DX?
Sarcoidosis
CXR shows reticular linear pattern with basilar predominance with pleural plaques.

DX?
Asbestosis
Pneumonia in college setting, young people most likely caused by what?

How is it TX?
Mycoplasma pneumoniae
Chlamydia pneumoniae

with a tetracycline like Doxycycline
Pneumonia due to contaminated water droplets from cooling/ventilation systems most likely caused by what?
Legionella
What is the "SPHERE" on lung cancer complications?
SVC Syndrome
Pancoast's Tumor
Horner's Syndrome
Endocrine (carcinoid syndrome: flushing, diarrhea, telangiectasias)
Recurrent laryngeal nerve (hoarseness)
Effusions (exudative)
Most common cause of respiratory disease in the preterm infant
Hyaline membrane disease
Upper lobe nodules and hyperinflation of lower lobes on CXR in what condition?
Coal Workers' Pneumoconiosis
What is the pattern of inheritence for cystic fibrosis
Autosomal recessive
Pneumonia like symptoms in addition to sore throat, hoarseness, and HA. Cold agglutinins are not elevated.

DX?
Chlamydia pneumonia
Pneumonia-like symptoms plus high fever, hyponatremia, and diarrhea. Appear more ill than the CXR indicates.

DX?
Legionella pneumonia
Pneumonia-like symptoms plus low grade fever, dry cough, bullous myringitis, cold agglutintins.
CXR shows unilateral lower lobe patchy consolidation.

DX?
Mycoplasma pneumonia

"walking pneumonia"
Immunocomp'ed pt with non-prod cough, fever, dyspnea that is slow onset. Increased LDH, more hypoxic than CXR shows. Diffuse or perihilar inflitrates with a "ground glass" appearance on CXR.
DX?
PCP pneumonia
Pathogen most likely to cause pneumonia is a pt with cystic fibrosis?
Pseudomonas
Pathogen most likely to cause pneumonia in postsplenectomy pts?
Encapsulated organisms like Strep pneumoniae and Haemophilus pneumoniae
Lung Bx shows caseating granulomas. CXR shows upper lobe infiltrates, frequently with cavitation.

DX?
Tuberculosis
Diagnostic eval to DX a DVT?

GOLD STANDARD to DX a DVT?
Venous U/S is diag eval

Venography is GS