Pulm Flashcards
1
Q
Asthma- Eti
A
- Reversible irritability of tracheobronchial tree
- Bronchoconstriction -> Inflammation and Hyperactivity to allegens and intrisic factors
- Atopy MC
2
Q
Asthma- Sx
A
- Dyspnea, wheezing and cough
- Worse at night
- Expiratory wheezes, hyper resonance
3
Q
Asthma- Dx
A
- PFTs before after bronchodilator
- Reversible obstruction
- Bronchoprovacation with metacholine
4
Q
Asthma- Intermittent
A
-
5
Q
Asthma- Mild
A
- > 2 days per week
- Saba use > 2 days per week
- 3-4 night awakenings per month
- Tx: Low dose ICS, SABA PRN
6
Q
Asthma Moderate
A
- Daily sx, daily SABA
- Wake > 1/ week
- Tx: low ICS + LABA or moderate ICS
7
Q
Asthma- Severe
A
- Constant sx, SABA use
- Nightly wakenings
- Tx: High dose ICS + LABA
- Omalizumab
8
Q
FEV
A
Forced expiratory capacity in 1 sec
9
Q
FVC
A
Amount of air expired after maximal inspiration
10
Q
PEFR
A
Peak expiratory flow rate
11
Q
Obstructive dysfunction
A
Low FEV/FVC
- Asthma, COPD, bronchiectasis, cystic fibrosis
12
Q
Restrictive dysfunction
A
- Normal or increased FEV/ FVC with reduced lung volumes
Sarcoid, pulm fibrosis,
13
Q
Community acquired pneumonia- Sx
A
- Outside or w/in 48 hr of hospital admission
- Strep pneumon, H. flu
- Inspiratory crackles
- Lobar infiltrates
- Fever
- Dullness to percussion, increased fremitus, egophony
14
Q
CAP- Dx and Tx
A
- CXR
- Sputum gram stain
- Macrolide or doxy
