Pulm Flashcards by Michael Roche

Sinusitis in DM?

Think mucor or rhizopus

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Nl A-a

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Immunocomp PNA?

PCP

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Walking PNA

M Pneumo/Legionella/Chlamydia

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Currant jelly-sputum

klebsiella

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Bird Handler PNA

C Psittaci

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Bats/Caves PNA

Histo

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SW USA PNA

Coccidio

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Alcoholic PNA

Aspiration. Kleb/s pneuno

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Q Fever

Coxiella (Sheep/goat/cattle)

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Air conditioners PNA

Legionella

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Most common PNA <1 yr

RSV

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Most common PNA <28 d

GBS/ecoli

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Most common PNA young adults/military barracks

M Pneumo

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PNA with many comorbidities

Klebs

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Most common viral PNA

RSV/flu

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woolsorters dz

b anthrax

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Bacterial COPD exacerbation

Hif

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PNA on ventilator

Pseudamonas

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PNA with CF

Pseudamonas

Pontiac fever

legionella

CAP Tx

S pneuno coverage. 3 G ceph/macrolide or levaquin

ASTHMA CAN BE diagnosed in older ppl. Reversible airway changes after bdilator

Wegner’s Can also have cutaneous vasc lesions

Can also have cutaneous vasc lesions

Lung dz in CREST/systemic sclerosis

Interstitial fibrosis

Most common causes of CHRONIC cough

Post nasal drip, Asthma, GERD

Dx post nasal drip?

Dx by alleviation of sx after antihistamines

MAC ppx in HIV/AIDS - when and how

CD 4 <50. Azithromycin

COPD PTX

catastrophic worsening of resp sx. 2/2 apical blebs

Granulomas release what hormones?

ACE and VitD (causing hyperCa)

Eggshell calcifications - sandblaster

silicosis. increases risk for TB

Recurrent PNA in same locations

Red flag for CA. 2/2 bronchial obstruction

Cell markers decreased in brutons

CD 19 - no B cells. Yes T cells. Tx IVIG

Histo Tx

itraconazole

Exertional dyspnea. CXR shows enlarged pulm aa and RVH

Pulm HTN

Persistent ptx and significant air leak following chest tube placement in patient who has suffered blunt chest trauma suggests?

Tracheobronchial rupture

SVC syndrome - tx?

Usually due to malignancy - radiation. steroids dont really help

Unilateral upper lobe infiltrate with cavitation and hilar LAD?

Acid base status for COPD?

Resp acidosis because chronic CO2 retention.

COPD with normal DLCO?

Chronic Bronchitis. Emphysema has decreased.

Silicosis jobs?

Sandblasters. Restrictive lung

Asbestosis jobs?

Shipbuilders. restrictive lung

Difficulty walking - Signs of shock, normal PCWP, increased right atrial pressure and pulm aa pressure. dx?

Pulm embolism

When is it ok to start empiric anti-thrombotic tx in a patient with possible PE?

If there's high enough suspicion - treat empirically before pursuing diagnostic tests

Pleuritic chest pain, cough, dyspnea, hemoptysis. CT shows unilat pleural effusion and wedge shape in lungs.

PE. Wedge shaped infarct in lungs is pathgnomonic for PE

Patient has recurrent PNA in same lobe - concerning for lung cancer. What study do you do to confirm?

CT chest. Do bronchoscopy afterward.

Lung Ca + symmetric proximal mm weakness + erythematous rash over dorsum of fingers. dx?

Paraneoplastic syndrome = dermatomyositis

Potential complication of bronchiectasis

hemoptysis