Flashcards in Obstructive Lung Disease CIS III Deck (15):
1
42yo M asthma since childhood, smokes marijuana, exercise induced dyspnea, elevated temp, thick brown cords of phlegm, Dx of pneumonia with azithromycin - no benefit, WBC 35% eosinos, X-ray diffuse pulmonary infiltrates
most likely diagnosis
-acute bronchopulmonary aspergillosis
2
pneumococcal pneumonia
rust colored sputum
high fever, chills
3
tuberculosis
night sweats
weight loss
fever chills
positive PPD
chronic cough
4
wegners granulomatosis
sinusitis, kidney and lung sx
5
35yo women, urticaria, SOB, wheezing, asthma, stabilized with epi and antihistamine, no known food allergies
small bilateral nasal polyps
urticaria = hives
most likely cause of her reaction
-sensitivity to ASA or NSAIDs
-other clues - nasal polyps
6
aspirin triad
samters
asthma
nasal polyps
ASA/NSAID sensitive
7
scombroid poisoning
rxn to eating decayed fish
histadine - causes histamine rxn
8
32yo white F ranch hand, COPD sx, hypoxia, prolonged expiratory phase of respiration, poor FEV1, never smoked, fam hx of early emphysema
evaluate for - alpha 1 antitrypsin deficiency
9
23yo F hx asthma, wakes up 1 week with sx, inhaler 4x/week
asthma classification
mild persistant
10
42yo F, coughing, wheezing, SOB, past 2 months, sins spill glacial acetic acid, frequent cough, chest tightness, awakening with SOB, decreased FEF25-75 at 45%, improves with albuterol
most likely diagnosis
-reactive airway dysfunction syndrome
-RADS
11
44yo F progressive dyspnea, since oophorectomy, thyroid supps, hormone therapy, eye drops glaucoma, no smoking, fam hx hay fever, slender nervous women with wheezing, FEF25-75 45% predicted
most likely cause - beta blocker induced asthma
-eye drops for glaucoma
psychological dyspnea - diagnosis of exclusion
12
22yo M, asthma hx, cannot control, 2 episodes of pneumonia, brownish mucous plugs
inspiratory crackles, gloved finger shadow
IgE serum elevated
most appropriate therapy
-prednisone
aspergillosis - dx
13
antifungals
amphotericin B
casopfungin
fluconazole
14
allergic bronchopulmonary aspergillosis
asthmatics in CF patients from hypersensitivity to aspergillus colonization
fever and pulmonary ilfiltrates
-unresponsive to antibacterial therapy
cough, produce mucous plugs, possible hemoptysis
poorly controlled asthmatics with difficulty tapering off oral corticosteroids
15