Flashcards in Pulm l Deck (44)
FEV1 / FVC
if high, think
if low, think
high, restrictive (hard to get air in)
low, obstructive (hard to get air out)
if higher think
if lower think
normal is obstructive
silhouette sign - see with
TB primary infx XRAY
secondary infx XRAY
primary - upper lobes, pleural effusion, hilar nodes
secondary - small calcifications in LU & nodes, or NORMAL
Non-sedating antihist vs sedating
(does not cross BBB vs does)
non-sedating - allegra (fexofenadine), claritin (loratadine, desloratadine) - H-1 antag
sedating - diphenhydramine (benadryl), chlorpheniramine - H-1 R antag; CI CNS depression, MAO-I
Atropine, then EPI
alpha-1 agonists for nasal congestion
2. phenylephrine hydrochloride
CI - severe HTN, MAO-I
ADR's: anaphalyxis, asthma, HA,
Glucocorticoids end in ?
fxn for asthma?
-sone, -zone, -onide
ADRS: water retention, CV probs, osteoprosis, peptic ulcers
used in conjunction w bronchodilators for LU
BLOCKS PHOSPHOLIPASE A2 in membrane blocking production of arachondic acid
if atropine is used as an emergency bronchodilator, what Rx use atropine as an anticholinergic bronchodilator?
does not tx acute asthma
types of rescue inhalers
what is mometasone?
inhaled corticosteroid powder for asthma
what is salmeterol?
BB warning!!! increase risk of asthma related death
leukotriene R antag
how long after chronic cough should you xray?
> 8 weeks
viral resp infx
sharp pain worse w deep breath or cough
friction rub "leathery sound
pneumonia vs effusion
hear increased or decreased sounds?
what to know
hyperinflation, peri-bronchial infiltrate
deadly in children and elderly
Pneumonia in alcoholics get which kind?
pneumonia in diabetics get which kind?
e coli consolidated
atypical pneumonia is seen as what on xray? caused by what?
BL DIFFUSE INFILTRATE
mycoplasma, chlamydia, viral
Hospital Acq Pneumonia appears how long after admission?
what kind of bug?
about 3 days
gram neg is about half of em
strep is MC community acq
smelly rusty sputum
tx like lobar pneumonia
Aspergillosis on xray
solitary lesion 3-5mm in diameter
found in dirt
MENINGITIS so much R/O
XRAY - solitary nodule
DX biopsy and culture
atypical presentation - patchy infiltrates, hilar adenopathy; cavitations, fibrosis
sputum culture or biopsy
mississippi, SE US, africa
can be bad!
* no hemoptysis
RASH, fever, erythema nodosum
XRAY - non specific infiltrate hilar adenopathy
flu-like, rash, erythema nodosum, no hemoptysis
coccidiodomycosis "valley fever"