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step 2 cs > COUGH/SHORTNESS OF BREATH > Flashcards

COUGH/SHORTNESS OF BREATH Flashcards

1
Q

cough/sob key hx: timing

A

acute/subacute vs chronic; progression; timing

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2
Q

cough/sob key hx: assoc sxs

A

sputum presence/description; hemoptysis
constitutional (fever, night sweats, WL, URI, postnasal drip, dyspnea, wheezing, CP, heartburn)
previous episodes

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3
Q

cough/sob key hx: soc hx

A

smoking hx

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4
Q

cough/sob key hx: med hx

A

hx of lung dz, posttussive emesis, or heart failure

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5
Q

cough/sob key hx: meds

A

esp ACEi

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6
Q

cough/sob key PE

A

VS+-pulse ox

exam nasal mucosa, oropharynx, heart, lungs, LNs, extremities (clubbing, cyanosis, edema)

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7
Q

asthma ddx

A

GERD
bronchitis
pneumonitis

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8
Q

asthma w/u

A

CBC
CXR
peak flow measurement
PFTs

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9
Q

COPD – chronic bronchitis ddx

A

emphysema
bronchiectasis
lung cancer
TB

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10
Q

COPD w/u

A 
CBC
sputum gram stain and culture
CXR
PFTs
CT chest
quantiferon-TB gold
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11
Q

pneumonia ddx

A 
COPD exacerbation (bronchitis)
lung abscess
lung cancer
TB
pericarditis
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12
Q

pneumonia w/u

A 
CBC
sputum gram stain and culture
CXR
CT chest
ECG
quantiferon-TB gold
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13
Q

atypical pneumonia ddx

A

asthma
URI-assoc cough (“postinfectious”)
postnasal drip
GERD

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14
Q

atypical pna w/u

A 
CBC
induced sputum gram stain and culture
CXR
IgM detection for Mycoplasma
Urine Legionella Ag
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15
Q

lung cancer ddx

A 
TB
lung abscess
COPD
vasculitis (granulomatosis with polyangiitis)
interstitial lung dz
CHF
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16
Q

lung cancer w/u

A 
CBC
sputum gram stain, culture, and cytology
CXR
CT chest
quantiferon-TB gold
ANCA
bronchoscopy
echocardiography
17
Q

COPD exacerbation ddx

A

lung cancer
pna
URI
CHF

18
Q

COPD exacerbation w/u

A 
CBC
CXR
ABG
PFTs
sputum gram stain and culture
CT chest
echocardiography
19
Q

TB ddx

A 
pna
lung abscess
vasculitis
lymphoma
metastatic cancer
HIV/AIDS
sarcoidosis
20
Q

TB w/u

A 
CBC
PPD/quantiferon-TB gold
sputum gram stain, acid fast stain, and culture
CXR
CT chest
bronchoscopy
HIV Ab
lymph node bx
21
Q

CHF ddx

A 
cardiac valvular dz
GERD
pulmonary fibrosis
COPD
postnasal drip
22
Q

CHF w/u

A 
CBC
CXR
ECG
echocardiography
PFTs
BNP
CT chest
23
Q

pulmonary edema ddx

A 
pna
CHF
mitral valve stenosis
arrhythmia
asthma
24
Q

pulmonary edema w/u

A 
CXR
ECG
CBC
ABG
PFTs
BNP

step 2 cs (39 decks)

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