Flashcards in Pulmonology Deck (84):
Exudative pleural effusion makes you think of what dx?
TB, lung cancer
Transudative pleural effusion makes you think what dx?
Paradoxical pulses are ____ & found in what disorder?
Large decrease in systolic BP during inspiration
Found in asthma
Most common patient complaint w/ emphysema
Age to begin vaccinations for pneumococcal pneumonia
Prolonged expiration (low FEV1) suggests what dx
Asthma or COPD
Hampton's hump on CXR=
Pt s spleen is more susceptible to what kinds of organisms?
Encapsulated organisms, most commonly strep pneumoniae and H. Flu
Most common cause of pneumonia in children lass than 1
Tx for pneumocystis jiroveci pneumonia
Occupations assoc c berylliosis
Aerospace & nuclear plant workers
CXR finding assoc c berylliosis
Diffuse infiltrates c hilar adenopathy
Gold standard for dx of pleural effusion
To decompress a tension pneumothorax, where do you put the needle?
2nd intercostal space at midclavicular line
Oseltamivir (tamiflu) may be given to children above what age?
Zanamivir (Relenza) may be given to children above what age?
HIV pt with ground glass appearance on CXR makes you think what dx
Pneumocystis jiroveci pneumonia (PJP, used to be CP)
Noncaseating granuloma should make you think of what dx
Pearl formation on CXR should make you think of what dx
Squamous cell lung cancer
Ghon or Ranke complexes on CXR should make you think of what dx
A westermark sign on CXR should make you think of what dx
Mesothelioma is most commonly found in what location
What CXR finding would make you think of mesothelioma
Pleural thickening--b/c most are found in pleural lining
Hyperinflation on CXR & eosinophilia on CBC should make you think of what dx
Organism that is most common cause of pneumonia in a patient with cystic fibrosis
College student presents with pneumonia. What 2 organisms should you be thinking of?
Chlamydia & mycoplasma
You suspect pneumothorax. What instructions go along c order for CXR?
End expiratory view IOT look for visceral pleural air
3 most commonly used txs for COPD
4 meds which may cause asthma
Nodular opacities in upper lung fields makes you think of what dx
Initial tx for active TB
for several months followed by
Once sensitivities come back
Caseating granulomas should make you think of what dx
Blue bloater refers to
Contralateral mediastinal shift should make you think of what dx
Best test to dx bronchiectasis
Main side effects of isoniazid INH
Hepatitis and peripheral neuropathy
Ethambutol has 2 major side effects
Red green vision loss
Question that has anything to do with rats and pt has pneumonia, should be thinking of
Most common organism causing pneumonia in COPD pts
Where is a pancoast tumor found on CXR
At the apex of either the right or the left lung
Will evidence of TB be found in the upper or lower lobes on CXR
A pt has pneumonia with rust colored sputum. What is the organism?
Coal miners lung often show nodular opacities in what lung fields
Upper lung fields
When you step up the dx from intermittent asthma to mild persistent asthma, what medication should you add?
An inhaled steroid like fluticasone
Any question about rabbits and pneumonia should make you think
Dullness to percussion should make you think of what dx
A young child presents to ED and you see him sitting in tripod position. What is the most likely dx?
6 extra pulmonary complications of lung cancer
Recurrent laryngeal symptoms
Currant jelly sputum should make you think of what dx
What happens to total lung capacity in sarcoidosis?
It goes down.
What will the likely findings be on a CXR of a pt c asbestosis?
Linear opacities at the bases with pleural plaques
Tympany to percussion should make you think of what dx
3 most common cancers to metastasize to the lungs
Breast, liver, colon
Barrel chest = what dx
Are the lungs noisy or quiet in COPD
4 indications for flu vaccine
Child 6-59 months
age greater than 50
Posttussive rales should make you think of what dx
Bullae & blebs on CXR should make you think of what dx
Rhochi or wheezes that clear after coughing suggest what dx
Bronchitis or atelectasis
Does FEV1 go up or down with asthma?
It goes down
A very sick pt with diffuse infiltrates that spare the costophrenic angles should make you think of what dx
Most common cause of bronchiectasis
Gold standard for dx of cystic fibrosis
Sweat chloride test
Exudative pleural effusion should make you think of what dx
TB, lung cancer
First line abx for epiglottis
3rd gen ceph
Transudative pleural effusions should make you think of what dx
What 2 lung cancers are typically found centrally on CXR
Small cell and squamous
Pertussis is most commonly treated with what abx
4 most common places lung cancer will metastasize to
If you come across a question where pt has erythema nodosum and an enlarged parotid gland, what is the most likely dx
A thin looking heart and flattened diaphragm on CXR should make you think of what dx
An alcoholic who has been dx'ed w/ pneumonia most likely has what organism
Honeycombing and tram tracks on the CXR should make you think of what dx
Bronchiectasis and idiopathic pulmonary fibrosis
Paradoxical pulses may be found in what pulmonary disorder
An older pt presents with pneumonia and diarrhea. What is the most likely dx?
Eggshell opacities on CXR should make you think of what dx
3 causes of decreased tactile fremitus
Hyper resonance to percussion should make you think of what dx
If you hear crackles in the lung fields list 3 differentials
Does total lung capacity go up or down in COPD
It goes up
List 3 differentials if you hear wheezes on exam
What is it called when a pt says "we" but on auscultation you here "ay"?
PE finding of egophony should make you think of what dx