Harrison - Diagnosis of Respiratory Disorders

Question 1

Which main diseases of the lung may result in a mix of restrictive, ,obstructive, and pulmonary vascular disease problems?

Answer 1

Infective and neoplastic processes.

Question 2

The cardinal symptoms of respiratory disease are?

Answer 2

1. Dyspnea.

2. Cough.

Question 3

Pain in the chest means what regarding respiratory disorders?

Answer 3

Usually result from either diseases of the parietal pleura (eg pneumothorax) or pulmonary vascular diseases (eg pulmonary HTN).
Lung parenchyma is NOT innervated with pain fibers.

Question 4

Rhonchi are?

Answer 4

A manifestation of obstruction of MEDIUM sized airways, most often with secretions.

Question 5

Acute/Chronic rhonchi means?

Answer 5

Acute –> Sign of viral or bacterial bronchitis.

Chronic –> Bronchiectasis or COPD.

Question 6

Crackles may also be seen in?

Answer 6

IPF –> Like Velcro sounding.

Question 7

How to distinguish between crackles of interstitial fibrosis from crackles of alveolar fluid?

Answer 7

To assess egophony.

Question 8

Cor pulmonale will give what heart sounds?

Answer 8

1. RV heave.
2. Prominent P2 component.
3. S4.

Question 9

Symmetric and asymmetric pedal edema as a sign of respiratory disorder?

Answer 9

Symmetric –> May suggest cor pulmonale.

Asymmetric –> May be DVT and PE.

Question 10

The majority of the respiratory system fall into one of 3 major categories?

Answer 10

1. Obstructive lung diseases.
2. Restrictive disorders.
3. Abnormalities of the vasculature.