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Flashcards in Buzzwords Deck (45):
1

Right sided pleuritic chest pain

Most likely pneumonia

2

ABCDE of pulmonary oedema

Alveolar bat wings
Kerley B lines
Cardiomegaly
Dilated prominent upper lobe vessels
Pleural effusion

3

Ground glass appearance on X-Ray

Pulmonary fibrosis
Respiratory distress of the newborn

4

Ziehl-Neelsen stain positive for acid fast bacilli

TB

5

Caseous necrosis

TB

6

Apical disease

Most likely (secondary TB)

7

What is apical lesion called?

Assmann focus

8

What is miliary TB?

Spread of organism into bloodstream

9

If miliary TB spreads through the pulmonary artery what happens?

Miliary dissemination into the lung occurs

10

If miliary TB spreads through the pulmonary vein what happens?

Systemic dissemination to the liver, spleen and kidneys

11

Positive anti-glomerular basement membrane antibodies

Goodpastures syndrome

12

Chest infection with parrot/pigeon as a pet

Chlamydophila psittaci

13

Dry cough and diRrhoe after holiday abroad, some indication of water spread

Legionella pneumophilia

14

Test for legionella pneumophilia

Urine antigen test

15

"Tall, thin man who indulges in marajuana" (a.k.a snoop dog)

Probably pneumothorax (marfans)

16

What is marfans syndrome?

Connective tissue disorder
Predisposes to pneumothorax

17

Bilateral hilar lymphadenopathy
Erythema nodosum
Granulomas
Fatigue
Uveitis
Weight loss

Sarcoidosis

18

Bronchiole wider than neighbouring arteriole on CT (signet ring sign)

Bronchiectasis

19

D sign on X-Ray

Empyema

20

Steeple sign on X-Ray

Latyngotracheobronchitis
Croup

21

Child with barking cough

Croup

22

Pneumonia with HIV

Pneumocystis pneumoniae

23

Treatment for pneumocystis pneumoniae

Cotramoxazole
(Prednisolone if severe)

24

Samters triad

Asthma
Nasal polyps
Salicylate sensitivity

25

Alcoholic (danger of aspiration pneumoniae)

Klebsiella

26

Klebsiella sputum colour

Red jelly sputum

27

Chlamydia psittaci

Mucoid sputum

28

Pneumococcal sputum colour

Mucoid sputum

29

Cannonball metastasis
(also weight loss and hEmaturia)

Primary renal cell carcinoma

30

Morning headache

Hypercapnia or side effects of organic nitrates

31

ACTH secreting lung tumour

Small cell carcinoma of the lung

32

PTH secreting lung tumour

Squamous cell carcinoma of the lung

33

Neuroendorine, highly malignant and may be associated with ectopic endocrine syndromes

Small cell carcinoma

34

Increased serum ACE and Ca2+

Sarcoidosis

35

Eggshell calcification at hilar region

Silicosis

36

'Heart failure' cells seen in alveolar spaces
Macrophages that have absorbed haemosiderjn

Chronic pulmonary oedema
LV heart failure
Also seen in long standing pulmonary hypertension

37

Area of infection and caseous necrosis at the periphery of the lung beneath the pleura - found in TB

Ghon focus

38

Coin lesion on CXR

Primary bronchial or lung carcinoma
Metastatic tumour (esp. of kidney)
Hamartimcarcionoid tumour
Granulomatous formation
Lung abscess

39

Pancoasts tumour causes

Horner's syndrome

40

Signs for Horner's syndrome

Ptosis
Enophthalmos
Meiosis
Unilateral lack of sweating
(Due to invasion of cervical sympathetic chain)

41

Stony dull to percuss

Pleural effusion

42

cANCA test positive

Granulomatous with polyangitis (GPA)

43

Holy leaf sign

Pleural plaques

44

Respiratory causes of clubbing

A - abscess
B - bronchiectasis (including CF)
C - Carcinoma of the lung
D - Decreased PaO2 (hypoxia)
E - Empyema
F - Fibrotic lung disease

45

Causes of pulmonary fibrosis

B - bloody in
R - radiation
E - extrinsic allergic alveolitis
A - ankylosing spondylitis
S - sarcoidosis
T - tuberculosis

C - cryptogenic fibrosing alveolitis
A - asbestosis