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Flashcards in B2PD.SYS2 Deck (23)
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1

Inflammation of Bronchi

Typically viral or response to irritants, productive cough

Refer to MD if patient develops fever w/ productive sputum; and unresponsive to Vit. A/C supplements

Acute Bronchitis

2

MC a complication of atherosclerosis, uncommonly related to 3° Syphilis

Cough, Hoarseness, Tracheal shift w/ tug

Widening superior mediastinum on chest film

Aneurysm of aortic arch

3

Chronic reversible airway disease

Mostly allergic in nature, causes bronchospasm and inflammation of mucosa

Sudden onset of dyspnea and wheezing

Refer to hospital if cyanosed or BPM >28

Asthma

4

Chronic dilation of bronchi from longstanding infection

Presents w/ chronic cough, shortness of breath and mucopurulent sputum

Bronchogram shows saccular dilations

Refer to pulmonologist

Bronchiectasis

5

Irreversible airway disease w/ chronic cough lasting >3 months for 2 consecutive years

Chronic inflammation, likely smoking related

Presents w/ dyspnea, cough, cyanosis, and bilateral ankle swelling

Co-manage w/ pulmonologist

Chronic bronchitis

6

Associated w/ Marfan's, HTN, or Chest trauma

Severe chest pain, diminishing upper limb pulse, and hypotension

Call 911

Dissecting Thoracic Aorta

7

Irreversible airway disease casuesed by smoking and industrial pollutants

Dyspnea, Barrel shaped chest, and Pursed-lip breathing

Chest x-ray shows overinflated lungs, flattened diaphragm, large retrosternal window

Co-manage w/ pulmonologist

Emphysema

8

MC congenital cyanotic heart disease

Presents w/ cyanosis at birth, clubbing of fingers, parasternal heave

Chest x-ray shows boot-shaped heart

Pulmonary stenosis, Rt. ventricular hypertrophy, overriding aorta, and ventricular septal defect

 

Fallot's tetralogy

9

Jaundice, ammonia breath, ascites, gynecomastia

Elevated bilirubin, AST, ALT, and alkaline phosphatase

Refer to hospital

Liver failure

10

Pus-filled cavity in chest

Often Staph. aureus

Chills, fever, halitosis, and foul-smelling sputum

Chest x-ray may show single cavity w/ air-fluid level

Refer to hospital

Lung abscess

11

Commonly malignant

Males more affected

Chronic cough, weight loss, hemoptysis, clubbing of fingers

Chest x-ray may show solitary mass

Refer to thoracic surgeon

Lung cancer

12

Viral, bacterial, or chemical

Retrosternal chest pain which is relieved by sitting up and leaning forward

ECG may show ST elevation

Refer to hospital

Pericarditis

13

May be caused by congestive heart failure, pneumonia, TB, or pleural metastasis

Dyspnea, Decreased tactile fremitus, dull percussion, absent breath sounds

Chest x-ray shows blunting of costophrenic angles

Refer to hospital

Pleural effusion

14

Infalmmation of lung parenchyma d/t viral, bacterial, fungal infxn or inhaled chemicals

Chills, fever, dyspnea, pleuritic chest pain, productive cough, increased fremitus, dull percussion

Pneumonia

15

Chest pain, sudden dyspnea, hyper-resonant percussion note, absent breath sound

Chest film shows collapsed lung

Refer to hospital

Pneumothorax

16

Chronic skin condition, rapid cell turnover

Silvery scaly plaques on the extensor aspects of neck, elbow, sacrum, and knees

HLA B27 +

Psoriasis

17

Sudden dyspnea, pleuritic chest pain, and hemoptysis

D-dimer test +

Lung perfusion scan or CT scan of chest is diagnostic

Call 911

Pulmonary embolism

18

Vasospasm of small arteries associated CT disorders like SLE or Scleroderma

White-blue-red response to cold and stress

Co-manage w/ internist or rheumatologist

Raynaud's Phenomena

19

Metabolic bone disorder in peds

Lethargy, Muscle weakness, frontal bossing, bow legs, kyphoscoliosis

Rickets

20

Chronic multisystem disease, non-caseous granulomas

Presents w/ fatigue, dyspnea, erythema nodosum

Hypercalcemia may be present

Chest x-ray shows bilateral hilar lymphadenopathy or diffuse pulmonary fibrosis

Co-manage with a pulmonologist

Sarcoidosis

21

Sudden onset of shortness of breath following chest injury, increasing cyanosis w/ tracheal deviation to the opposite side

Call 911

Tension pneumothorax

22

Inflammation of 2nd-5th costochondral joint, seen more commonly w/ repetitive microtrauma

Presents w/ localized chest pain and swollen chostochondral joint

Refer to rheumatologist if chiropractic is unsuccessful

Tietze syndrome

23

Chronic infection

Presents w/ Ghon focus and complex w/ caseous necrosis and granulomas

Cough, night sweats, fever, hemoptysis, weight loss

Chest x-ray may show apical consolidation and cavitation

Refer to infectious disease specialist

Tuberculosis