Pulmonary Infections & Abdo Surg Exam Flashcards Preview

Jason's MD2 Core Conditions > Pulmonary Infections & Abdo Surg Exam > Flashcards

Flashcards in Pulmonary Infections & Abdo Surg Exam Deck (23)
0

Upper airways colonized by what usually?

gram -ve anaerobes

1

4 common features of pulmonary infection

cough
fever
sputum
dyspnoea

2

3 lung defenses:

flora
mucociliary elevator, IgA
alveolar macrophages

3

pleurisy signs and symptoms?

sharp stabbing localised pain
radiates through chest
pain with cough and inspiration

4

other tests for someone with someone with SaO2 90% and pneumonia?

ABGs

5

3 classic opportunistic lung infections?

fungal
pneumocystis jiroveci
klebsiella

6

If examining patient and they're in pain, what to do before examination?

Resus, analgesia, then examine

7

position of abdominal exam?

ALWAYS flat

8

first thing you should notice in an abdo examine?

distension
scars
trauma
rashes

9

steps to examine someone with RUQ pain?

start in LLQ, then go around and do the RUQ last

10

looking at obs charts should look at what 2 things?

absolute value
trend

11

what causes proptosis?

thyrotoxicosis
more likely Grave's due to increased fat pad

12

what to look for around mouth for abdo patient?

central cyanosis
fetor
dentition
angular chelitis
tongue hydration

13

look for what on chest inspection for abdo?

spider naevi
gynaecomastia
nipple distortion

14

2 ways to confirm severity of abdo pain?

cough
light percussion

15

light percussion to detect what?

peritonitis

16

murphy's sign is?

curl fingers under right costal margins, ask to inspire

17

Rovsing's sign?

palpating left iliac fossa and you get right pain

18

what position to examine groins?

standing up

19

what is a punctum?

sebaceous cyst, has a keratin plug

20

how to tell is testicular lump is solid or fluid?

transilluminate

21

6 Fs of distended abdomen?

flatus
fluid
fat
faeces
foetus
feffin'big tumour

22

why ask to poke tongue out if thyroid mass?

thyroglossal cyst