DPD: Amir Sam Resp. cases Flashcards Preview

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Flashcards in DPD: Amir Sam Resp. cases Deck (26)
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1

List 3 causes of sudden onset shortness of breath (seconds)

Pneumothorax- rupture of bullae

PE

FB

2

List 3 causes of shortness of breath occurring within minutes

Inflammation/ obstruction of airways

Chest infection (pus)

Acute heart failure (fluid)

3

List 5 causes of shortness of breath persisting for days/ weeks

Interstitial lung disease

Malignancy

Large pleural effusion

Neuromuscular

Anaemia

4

What treatment is required for primary pneumothoraces <2cm and >2cm?

< 2cm: Discharge, repeat CXR

> 2cm: Aspiration, if unsuccessful chest drain

5

What treatment is required for secondary pneumothoraces <2cm and >2cm?

< 2cm: Aspiration

> 2cm: chest drain

6

What signs may be seen on ECG due to a PE?

Signs of strain on the right side of the heart

RBBB

Right axis deviation

S1Q3T3

7

What is the significance of either lead I or II being negative? What else should you look at?

Axis deviation

Overall +ve avL= LEFT axis deviation

Overall -ve avL= Right axis deviation

8

What is the likely diagnosis in a: 50y F with chronic SOB, sputum, no clubbing + FEV1/FVC ratio < 70% ? What features may be seen on CXR?

COPD

Lung hyperinflation

Flattened diaphragm

9

What is the likely diagnosis in a patient with: Cough sputum wt loss Night sweats fluffy airspace shadowing on CXR

Pulmonary TB

10

What is the likely diagnosis in a: 70y M SOB Keeps pigeons CXR: bilateral reticular nodular shadowing

Extrinsic allergic alveolitis

11

What features are seen on this CXR? What is the likely diagnosis?

hyperexpanded + flattened diaphragm

COPD

12

What features are seen on this CXR? What is the likely diagnosis?

Lung markings absent on left 

Pneumothorax

13

What features are seen on this CXR? What is the likely diagnosis?

Airspace fluffy shadowing

Pneumonia

14

What features are seen on this CXR? What is the likely diagnosis?

Bilateral airway shadowing

Pulmonary oedema

15

What features are seen on this CXR? What is the likely diagnosis?

Reticular nodular pattern

Pulmonary fibrosis

16

What features are seen on this CXR? What is the likely diagnosis?

Homogenoeus left pleural effusion

17

What features are seen on this CXR? What is the likely diagnosis?

Right lung collapse

18

What features are seen on this CXR? What is the likely diagnosis?

Left cavitating lesion with air-fluid level visible

Infection (TB)

Inflammation (RA)

Malignancy (squamous cell carcinoma)

 

19

What features are seen on this CXR? What is the likely diagnosis?

Globular outline of the heart

Enlarged heart

Pericardial effusion

20

What features are seen on this CXR? What is the likely diagnosis?

Bilateral hilar lymphadenopathy 

Infection (TB)

Inflammation (sarcoid)

Malignancy (lymphoma)

21

What features are seen on this CXR? What is the likely cause?

Pleural plaques

Asbestos exposure

22

What are the different causes of shadowing based on distribution? 

Alveolar/ interstitial shadowing: fluid (heart failure) or pus (pneumonia)

–reticulonodular shadowing (fibrosis)

–homogeneous shadowing (pleural effusion)

23

What is suggested by a reticulo-nodular pattern of opacities?

Pulmonary fibrosis

24

What is suggested by homogeneous shadowing?

Pleural effusion

25

List 3 infectious causes of a cavitating lung lesion with an air fluid level

Staphylococcus aureus

Klebsiella pneumoniae

TB

26

List 3 non-infectious causes of a cavitating lung lesion with an air fluid level

Squamous cell carcinoma

Rheumatoid arthritis

Granulomatosis with Polyangiitis