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20 Cards in this Set
- Front
- Back
URI (common cold)
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S&S- Nasal congestion & discharge, coughing, high fever, malaise.
Eti- Almost 200 viruses & mycoplasma Dx- Nasal or sputum discharge Tx- pallalitive, hycodan, robitussin, guafenesin |
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Influenza
viral inflammation of the upper & lower respiratory tract mucous membranes |
S&S-Protracted cough, high fever, HA, sore throat, malaise, body aches, weakness
Eti-Virus, influenza A, B, C etc. Dx-Throat or sputum culture Tx-Symptomatic, vaccine is useless after disease is established |
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Epistaxis (nosebleed)
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S&S- Hemorrhage from nose
Eti- Cold, infection, trauma, underlying disease (HTN, Leukemia) Dx-Visual Tx-Constant direct pressure, cartarize if persistent with silver nitrate |
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Laryngitis
Inflammation of larynx including vocal cords |
S&S-Hoarsness causing aphonia, fever, malaise, painful throat, dysphagia
Eti-Viral or bacterial Dx-Laryngoscopic exam Tx-Palliative, ABX |
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Tonsillitis
Acute inflammation of the tonsils |
S&S-Tonsils inflammed, swollen with yellowish exudates
Eti-Most common bacteria group-A beta-hemolytic streptococci Dx-Throat culture Tx-ABX |
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Sinusitis
Acute or chronic inflammation of the mucous membranes of the paranasal sinuses |
S&S-HA, dacial/dental pain, greenish-yellowish nasal drainage, acute=4-6 weeks
Eti-Sinus x-ray Dx-ABX, tavist, benadryl, zyrtec, fexofenadine, allergy testing, sinusotomy Deviated septum, nasal polyps Tx- |
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Pharyngitis
Acute or chronic inflammation of the pharynx |
S&S-Inflammation of the tonsils, uvuls & palate, dry sore throat, sensation of lump in throat
Eti-Usually viral, can be secondary bacterial Dx-Visual Tx-Palliative, ABX |
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Epiglottitis
Inflammation of the epiglottis |
S&S-Drooling, stridor, fever, respiratory distress caused by obstruction
Eti-Most common bacteria haemophilus influenza (Hib) Dx-X-ray of neck, CBC Tx-ABX, intubation, prednisone |
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Cystic fibrosis
Chronic dysfunction of the exocrine glands |
S&S-Copius thick & sticky mucous, dry cough, dyspnea, large bulky BM's
Eti-Inherited disorder Dx-Family hx, PFT's, chest x-ray, stool studies Tx-Guafenesin, brethine |
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Bronchitis
Inflammation of the mucous membrane lining the bronchi |
S&S-Deep, persistent, productive cough, yellow/grey sputum, SOB, wheezing
Eti-Usually viral Dx-Chest x-ray, PFT's Tx-Guafenesin, albuterol, theophylline, alupent, servent, brethine |
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Emphysema
Destructive changes in the alveolar walls & irreversible enlargement of the alveolar air spaces |
S&S-Dyspnea, tachypnea, wheezing, SOB, barrel chest, bluish around mouth
Eti-Smoking, air pollution, coal dust Dx-PFT's, chest x-ray, blood gases (ABG) Tx-Bronchodialators, oxygen |
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Pneumonia
General term applied to several types of inflammation of the lungs |
S&S-Cough, SOB even at rest, chills, sweating, chest pain, cyanosis, blood in sputum
Eti-Viral or bacterial Dx-X-ray, sputum culture Tx-ABX, bed rest, increase fluids |
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Asthma
Bronchial tubes are hyperactive & hypersensitive which leads to bronchial airway obstruction, leading cause of absenteeism in school kids |
S&S-Wheezing, productive cough & dyspnea that can lead to hospitalization
Eti-Allergic reaction, unknown Dx-Chest x-ray, PFT's Tx-Bronchodialators, prednisone, flovent, azmacort, montelukast sodium, zafirlukast |
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Croup
Acute respiratory syndrome in children & infants. Viral illness, no cure, only treat symptoms, affects children 6 months- 3 years, usually during late fall, winter & early spring |
S&S-Stridor, SOB, high pitch cough
Eti-Viral Dx-X-ray (steeple sign), auscultation, throat culture Tx-Robitussin, nebulizer |
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Infectious Mononucleosis
Viral infection that affects the respiratory system, liver, lymphatic system |
S&S-Malaise, anorexia, fever, chill, sore throat, swollen lymph glands, coated tonsils
Eti-Epstein-Barr virus (EBV) Dx-EBV blood test Tx-Supportive, common in college/military |
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Pulmonary Embolism
Blood clot occludes in an artery in the pulmonary circulation |
S&S-Dyspnea, tachypnea, chest pain, hemoptysis
Eti-Clot broken loose from a deep vein in the leg, venous stasis, predisposition to clot formation Dx-Ausculatation reveals rales & plural rub, CT Tx-Oxygen, anticoagulants |
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Pleurisy
Inflammation of the membranes surrounding the lungs |
S&S-Sharp, needle like pain which increases with inspiration & coughing, inspirations shallow/rapid
Eti-Secondary to infections Dx-Auscultation=pleural rub, chest x-ray Tx-ABX, deep breathing exercise |
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Tuberculosis
Chronic, acute or subacute infection of lungs |
S&S-Asymptomatic, productive cough, hemoptysis, fever, night sweats
Eti-Bacteria, mycobacterium tuberculosis, increase immigration & AIDS has caused numbers to rise in the U.S. Dx-Mantoux test, PPD, chest x-ray, sputum culture Tx-INH, isoniazid |
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Lung Cancer
Most common type of cancer death worldwide for both men & women |
S&S-dry or productive cough, dyspnea, hemoptysis, chest pain
Eti-Hx of smoking (87%), malignant neoplasm Dx-X-ray, biopsy Tx-Surgery, chemo/radiation, prognosis is poor due to late detection & early detection has not proven improved survival |
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COPD
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Encompasses bronchitis, bronchiectasis, asthma, emphysema, & pneumoconiosis
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