Pulmonary pt. 3 Inflammatory/infectious disease

Question 1

asthma

Answer 1

reversible obstructive lung disease caused by increased reaction of the airways to the various stimuli

Question 2

asthma triggers

Answer 2

infxns, colds, smoke, allergic to pollution/pollen/mold, PA, cold air, etc

Question 3

asthma A

Answer 3

normal bronchus

Question 4

asthma B

Answer 4

asthma airway inflammation begins, bronchospasms

Question 5

asthma C

Answer 5

airway tissue swells and edema of mucus membrane further narrows lumen

Question 6

asthma D

Answer 6

mucus produced and further compromises airway

Question 7

what do you listen for with asthma?

Answer 7

any kind of abnormal noise produced when breathing
wheezing, irregular breathing, dyspnea, clearing throat, coughing

Question 8

what should you look for with asthma

Answer 8

skin reaction
hunched over body
pursed lip breathing
nostril flare
pallor / sweating

Question 9

pneumonia

Answer 9

inflammation of the lungs

Question 10

pneumonia risk factors

Answer 10

age
smoking
endotracheal intubation, nasogastric tube
recent chest surgery
prolonged immobility
immunosuppressive therapy
nonfunctional immune system
chronic disease
aspiration

Question 11

tuberculosis

Answer 11

bacterial infectious disease

spreads with repeated close contact with infected person

Question 12

extrapulmonary TB can occur where

Answer 12

kidneys
bone growth plates
lymph nodes
meninges
hip joints
Potts disease

Question 13

TB risk factors

Answer 13

health care workers
overcrowded housing
incarceration
infants/children <5

Question 14

TB SxS

Answer 14

fatigue
malaise
anorexia
wt loss
low grade fever
night sweats
frequent productive cough
dull chest pain, tightness, discomfort
dyspnea

Question 15

scleroderma

Answer 15

chronic, progressive
restrictive lung disease
inflammation and fibrosis of many organs - affects skin & visceral organs

Question 16

important SxS of scleorderma

Answer 16

multi joint restriction of ROM present

Question 17

lung cancer (bronchogenic carcinoma)

Answer 17

malignancy in the epithelium of respiratory tract
2nd most common dx

Question 18

where does lung CA spread

Answer 18

brain
long bones
vertebrae
liver
adrenal glands

local to chest wall, pleura, pulmonary parenchyma, bronchi

Question 19

lung CA risk factors

Answer 19

age >50
smoking
previous tobacco CA
genetic predisposition
exposure
previous lung diease

Question 20

lung CA can cause sharp pain at what parts of the body

Answer 20

chest, upper back, shoulder, scapula, rib
arm pain aggravated by inspiration including respiratory SxS