Buzz words: Respiratory Flashcards Preview

Year 3 Medicine > Buzz words: Respiratory > Flashcards

Flashcards in Buzz words: Respiratory Deck (34):
1

SOB on exertion
“Winter bronchitis”
Wheeze
Chronic productive cough
Inv: post-bronchodilator Spirometry

COPD

2

Inv: post-bronchodilator Spirometry

COPD

3

Fever
Chronic Cough
Weight loss
Asian
Lowenstein Jensen Medium
Red Ziehl-Nelson Stain
“Acid fast bacilli”
RIPE treatment

TB

4

Lowenstein Jensen Medium

TB

5

Red Ziehl-Nelson Stain

TB

6

“Acid fast bacilli”

TB

7

TB drug SE: orange tears

Rifampicin

8

TB drug SE: peripheral neuropathy

Isoniazid

9

Red-green colour blindness

Ethambutol

10

Steatorrhoea, diabetes
Clubbing, Signet rings
Recurrent Infections
Bronchiectasis
Sodium >60mmol

Cystic Fibrosis

11

Shipyard/power station worker
End-inspiratory crackles
Non-productive cough
Pleural effusion

Mesothelioma

12

Mouldy hay

Farmer's lung (EAA)

13

Parakeets/Pigeons

Bird fancier's lung (EAA)

14

Lung Ca:
Horner's syndrome
Arm pain

Pancoast's tumour

15

Lung Ca:
Hypercalcaemia (constipation, polyuria)
Ectopic PTHrP
Epithelial cells

Squamous cells carcinoma

16

Lung Ca:
Neuroendocrine symptoms
Paraneoplastic syndomes:
ACTH: cushing’s
ADH: SIADH
Anti-Ca ABs: Lambert Eaton
Mets early

Small cell carcinoma

17

Lung Ca:
Goblet cell origin
NON-smoker, woman

Adenocarcinoma

18

Lung Ca:
Goblet cell origin
NON-smoker, woman
Mets

Adenocarcinoma

19

Fever, SOB, productive cough
Bronchial breath sounds
Coarse creps
Assess with CURB-65
CRP, urea, RR, BP, >65yo
IV clarithromycin, oral amoxicillin

Pneumonia

20

Pneumonia:
rusty sputum, younger pt

S. pneumoniae

21

Pneumonia:
small segmental
infiltrates, sinusitis, pharyngitis, laryngitis

Chlamydia pneumonia

22

Pneumonia:
adolescents,
erythema nodosum, pericarditis,
haemolytic anaemia

Mycoplasma pneumoniae

23

Pneumonia:
Abscesess

S. aureus

24

Pneumonia:
purulent dark sputum

Klebsiella

25

Pneumonia:
AIDS, widespread
infiltrates, low O2 sats

Pneumocytitis jiroveci

26

Pneumonia:
legionnaire’s, low
Na, low albumin, air conditioning

legionnaire’s, low
Na, low albumin, air conditioning

27

Pneumonia:
birds,
hepatosplnomegaly, conjunctivitis,
arthralgia, lower lobe consolidation

Chlamydophila psittaci

28

Child coughing up blood

Inhaled foreign body

29

Night cough
Intermittent wheeze
Eczema/hayfever (atopy)
Stepwise Treatment
Diurnal variation

Stable asthma

30

Nocturnal cough
Diurnal variation

Stable asthma

31

Nocturnal cough
Diurnal variation

Stable asthma

32

Silent chest, apparent improving O2,
fatigue, bradycardia
IV magnesium sulphate, intubate

Life-threatening exacerbation of asthma

33

60% O2 via facemask
Back-to-back nebs
Systemic steroids

severe exacerbation of asthma

34

60% O2 via facemask
Back-to-back nebs
Systemic steroids

severe exacerbation of asthma