Clinical Manifestations / Complications Flashcards

(49 cards)

1
Q

Atelectasis (acute and chronic)

A

Dyspnea, cough, sputum
Increased WOB

Acute: tachycardia, tachypnea, pleural pain, central cyanosis

Chronic: similar to acute, infection might be present

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2
Q

Influenza

A

Abrupt onset
Fever, chills, myalgia, fatigue
HA, sore throat

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3
Q

Influenza complications

A

PNA
Sinus infection
Dehydration

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4
Q

Streptococcal PNA

A

Sudden chills, fever
Pleuratic chest pain
Respiratory distress

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5
Q

Viral/mycoplasma/Legionella PNA

A

Bradycardia

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6
Q

PNA complications

A

Atelectasis
Pleurisy
Pleural effusion
Pneumothorax
Meningitis
ARF
Sepsis, shock

Also delirium with older

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7
Q

TB

A

2-3 weeks after infection…
Cough (dry then productive)
Fatigue, malaise, fever, night sweats
Anorexia and weight loss
Later: dyspnea (unusual) and hemoptysis

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8
Q

SUD

A

Mood
Hygiene
Odd sleep patterns
Injuries
Relationship problems
Poor job performance
Anorexia
Isolation
Financial problems, jail, theft
Withdrawal

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9
Q

Long term alcohol use complications

A

HTN, CM, heart disease
Stroke
Liver
Gastritis
Pancreatits
Immunosuppression
Sexual dysfunction

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10
Q

BAL 0.4 to 0.5

A

Coma
Impaired breathing and HR
Nystagmus

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11
Q

BAL 0.200 to 0.299

A

NV
Emotional
Decreased libido
Motor impairment
Blackout
Loss of consciousness

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12
Q

BAL 0.001 to 0.029

A

Normal

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13
Q

BAL 0.030 to 0.059

A

Mild euphoria
Relaxed
Happy
Talkative
Impaired concentration

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14
Q

BAL 0.060 to 0.099

A

Reduced pain
Euphoria
Extraversion
Impaired depth perception and peripheral vision

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15
Q

Wernicke Korsakoff

A

Vitamin B deficiency
Vision changes
Memory impairment
Dementia

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16
Q

DT

A

Anxiety, fear, irritable, agitated
Tremor
Insomnia
Incontinent
Hallucinations
Tachycardia, HTN, dilated pupils, hyperthermia, sweating

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17
Q

Chronic bronchitis

A

Cough with sputum 3 months for 2 years
Increased goblet cells
Enlarged submucosal glands
Cilia dysfunction
Inflammation

(“Blue bloater” cyanosis)

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18
Q

Emphysema pathophysiology

A

Abnormal airspace distention
Alveoli wall destruction
Increased dead space
Impaired diffusion
Hypoxemia
Hypercapnia

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19
Q

COPD pathophysiology

A

Chronic inflammation in airways, parenchyma, and pulmonary blood vessels
Air trapping
Hypersecretion
Mucosal edema
Bronchospasm

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20
Q

Effects of aging on respiratory system

A

Loss of elasticity
Stiff chest wall
Rib cage calcification
Kyphosis
Decreased exercise tolerance
Smaller rounder lungs
Decreased number alveoli

21
Q

COPD

A

Cough and sputum
Dyspnea
Accessory muscles, chest breathing
Weight loss
Exercise intolerance
Wheezes, deceased breath sounds
Tripod, pursed lip, long expiratory

22
Q

COPD complications

A

Exacerbations
Respiratory insufficiency
Respiratory failure
PH/cor pulmonale
PNA

23
Q

Cor pulmonale

A

Dyspnea
Crackles
JVD
Hepatomegaly, RUQ tenderness
Edema, weight gain

24
Q

O2 therapy complications

A

Combustion
CO2 narcosis
O2 toxicity
Absorption atelectasis
Infection

25
Lung cancer
Dyspnea Hemoptysis Chest and shoulder pain Pneumonitis Cough with sputum Dysphagia Swollen lymph nodes Clubbing Nonspecific: weight loss, weakness, HA
26
Obesity complications
2 to 6 year decrease of lifespan Increased risk for cancer, DM2, asthma, HTN, Alzheimer’s, musculoskeletal disorders Respiratory failure, OSA, obesity hypo ventilation syndrome HF, embolism
27
Dumping syndrome
Sweating Tachycardia NVD Dizzy
28
Smoking’s effect on body
Lung damage Damage to protective mechanics Airflow obstruction Increase secretions Reduced lung capacity
29
Pneumothorax
Dyspnea, tachypnea, tachycardia, pleuritic chest pain, tracheal deviation, absence of breath sounds, fremitus
30
Liver dysfunction
Jaundice Encephalopathy Angioma Lack of body hair Muscle wasting Widened blood vessels Ascites Red palms Cirrhosis
31
Jaundice
Yellow High bilirubin
32
Hepatocellular jaundice
Sick Anorexia, NV Malaise, fatigue, weak HA, chills, fever, infection
33
Obstructive jaundice
Dark urine, pale stool Dyspepsia, fat intolerance, impaired digestion Pruritis
34
Hepatic encephalopathy
Lethargy Change in sleep patterns Drowsiness Mood swings Confusion Incoherent Stupor Coma
35
Esophageal varices
Hematemesis Melena Deterioration Shock
36
Hep A
Mild flu Low fever Anorexia Later jaundice and dark urine Indigestion and epigastric distress Large liver and spleen
37
Hep B
Insidious and variable Similar to HAV (mild flu) Low appetite Dyspepsia Abdominal pain Aches Malaise Weakness Maybe jaundice
38
Hep C
Mild symptoms but high chance of becoming chronic
39
Hep D
High chance of sudden liver failure or chronic hepatitis and cirrhosis
40
Cirrhosis
Hepatomegaly Portal obstruction Ascites Infection Peritonitis Varices Edema Vitamin deficiency Anemia Mental deterioration
41
Liver CA
Pain at RUQ, back, epigastrium Weight loss Anemia Anorexia Weak Jaundice if bile duct occlusion Ascites Obstructed portal veins Also: hepatomegaly
42
Glaucoma
Silent thief Loss of peripheral vision Blurry Halo Hard time focusing and adjusting to low lighting Achy eyes and HA
43
Cataracts
Painless blurry vision Dim Glare sensitivity Reduced acuity Myopic shift Astigmatism Diplopia (double vision) Color shifts
44
Retinal detachment
Shade / curtain in vision at 1 eye Flashing lights Sudden floaters
45
Hearing loss
Tinnitus Turning up TV Impaired speech Isolation
46
External otitis
Pain Tender Discharge Edema Erythema Pruritis Hearing loss Fullness
47
Acute otitis media
Otalgia Fever Hearing loss
48
Ménière’s disease
Triad: episodic vertigo, tinnitus, fluctuating sensorineural hearing loss Pressure, NV
49
PNA
Cough Fever and chills Dyspnea and tachypnea Myalgia Pleural chest pain Accessory muscles Orthopnea Crackles Fremitus vibration Purulent sputum Change in mentation