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17 Cards in this Set

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  • Back
What are the three general causes of atelectasis?
1. External compression
2. Brochiole obstruction
3. Inability to expand the lung
What are the three general causes of Pulmonary Edema?
1. Increased hdrostatic pressure
2. decreased oncotic pressure
3. Leaky vessels
List the effects of a massive pulmonary emoblism obstruction a primary vessel
Right heart failure from overfilling, JVD, edema, atelectasic and hemorrhage.
Left heart failure from decreased filling, hypotension and shock
How does a pulmonary emoblism usually present (3 Sx)
1. Cyanosis
2. Tachycardia
3. Dyspnea
What incrases the likelihood of a pulmonary infarct and why?
CHF limits the ability of anastomses to compensate for occluded vasculature
These are generally located on the periphery and are associated with plueral effusion
Pulmonary Infarcts
What is the presentation of a pulmonary infarct
Dyspnea
Hemoptysis
Chest Pain
Fever
Cough
What is the average pulmonary blood pressure
19/6, mean 11
Sx of pulmonary hypertension
chest pain
SOB
Syncope
Fatigue
Cor Pulmonale
List the three general characteristics of pulmonary vasculitis
1. Angiitis
2. Granulatomis inflammation
3. Necrosis
What are the 5 types of pulmonary vasculitis
1. Wegener's granulomatous
2. Allergic angiitis w/ gramulomatous of Churg-Strauss
3. necrotizing Sarcoidosis
4. Bronchocentric granulomatous
5. Lymphamotoid granulomatis
What is the differential Dx for Wegener's Granulomatosis? What is the distinguishing characteristic?
Infections granulomas from TB and fungal infectiosn are very likely. They generally are much less necrotic than Wegener's
This disease is characterized by involvement of upper respiratory tract, lungs and kidneys
Wegener's Granulomatosis
90% of affect pateints are males w/ mean age 21. Affects lumonary/renal basement membranes
Goodpature's Disease
Intra-alveoloar hemorrhage due to acute necrotizing vasculitis of alveolar septae
Systemic Lupus Erytematosus
No renal involement of antibodies to pulmonary alveolar and renal basement membranes. 80% are 16 y/o or less
Idiopathic Pulmonary Hemosiderosis
1. Has a granular staining for immunoglobulins and complement?
2. Has linera IgG deposist?
1. Systemic Lupus Erythematosus
2. Goodpasture's Disease