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4 Cards in this Set
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- Back
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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 |
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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 |
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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 |
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Sarcoidosis |
Lofgren syndrome CXR: 1. Bilateral hilar lymphadenopathy 2. Erythema Nodosum: Lesion on the shin 3. Arthritis |
