Obstructive Lung Disease CIS III Flashcards Preview

RESP II Exam 2 > Obstructive Lung Disease CIS III > Flashcards

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

65yo F, quit smoking 10 years ago, 24 hour O2, increasing SOB, bedridden, no fever/chills/shakes/SOB/chest pain

O2 sat 69%, heart RRR, EKG normal, FEV1 18% predicted

next appropriate step
-refer for lung transplant**