Pulmonary I Flashcards Preview

Medicine > Pulmonary I > Flashcards

Flashcards in Pulmonary I Deck (36):
1

what is the most common cause of cough?

Post nasal drip
GERD
asthma
90% of non smokers with a cough have one of these

2

what is a common presenting complaint to the doctor?

cough

3

what determines an acute cough?

<3weeks (commonly follows viral or bacterial infection)

4

what determines a subacute cough?

3-8 weeks

5

what determines a chronic cough?

>8 weeks

6

what is the MCC of chronic cough?

chronic bronchitis secondary to smoking

7

what is the criteria for diagnosing chronic bronchitis?

3 mo of any given year for 2 consecutive yrs

8

what are common causes of acute cough?

common cold
acute bacterial sinusitis
allergic rhinitis
environmental irritants
COPD exacerbations

9

what are less common causes of acute cough?

pertussis
pneumonia
asthma
heart failure

10

what does the data say about using mucolytics, suppressants and antitussives for acute URI?

they don't help

11

what do you have to be cautious about prescribing with pts with chronic cough?

codeine anti tussives

12

what are common causes of chronic cough?

chronic bronchitis
asthma
chronic rhinosinusitis (MCC in non smokers)
ACE cough
Post-infectious
GERD

13

when can a pt have an ACE cough?

anytime during treatment

14

what are work up exams for pulmonary?

CXR
pulmonary function testing
staturations

15

what is a good question to identify dyspnea?

are you able to take a full deep breathe?

16

what part of the lungs has feeling?

pleura, vasculature
parenchyma has no feeling

17

what does wheezing mean?

obstruction

18

what are rales?

crackles

19

what do fine crackles indicate?

chronic interstitial lung disease problem

20

what do coarse crackles mean?

pneumonia
HF, pleural fluid

21

what do ronchi mean?

upper airway
bubbly, mucousy stuff

22

what FEV1/FVC is normal?

>70%

23

how long do you have to remove ACE inhibitor to analyze chronic cough?

6 months

24

what is an important hx question for former smokers?

SOB with exertion

25

what is DLCO?

diffusion capacity
(diminished in emphysema)

26

what does alpha 1 antitypsin test indicate?

if pt has deficiency which leads to emphysema

27

what WBC characterize astham?

eosinophils

28

what WBC characterizes COPD?

macrophage
neutrophil

29

what CD is a/w asthma?

CD4

30

what CD is a/w COPD?

CD8

31

what do cigarettes do to lung function?

accelerate decline in lung function
release oxidants and free radicals
increase neutrophils
suppresses elastase-inhibitory activity

32

what are irreversible airflow limitations?

fibrosis and narrowing
loss of elastic recoil
destruction of alveoli

33

what are reversible airflow limitations?

inflammatory cell infiltration
smooth muscle contraction in peripheral and central airways
dynamic hyperinflation during exercise

34

what is a bullectomy?

remove a bullae or bleb to remove dead space and allow more expansion of good lung tissue

35

who should be tested for airflow limitations?

pts with chronic cough and sputum production with history of risk factors

36

what test is the gold standard for assessment of COPD?

spirometry

Decks in Medicine Class (146):