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Flashcards in Pulmonology Deck (45):
1

First investigation of stridor

Upper GI to look for structural abnormalities

2

Worst days of bronchiolitis

Day 3-4

3

Laryngomalacia

Congenital condition; lack of neural coordination of laryngeal muscles with suppraglottic structures tha hang over airway ( epiglottis, arytenoid cartilages). usually worse stridor in supine position, better in prone.

4

Relationship of GERD and laryngomalacia

Often GERD is associated. If prophylactically treat GERD, can improve laryngomalacia

5

What conditions is vocal cord paralysis associated with?

Cardiac abnormality, s/p surgery 2/2 damage to recurrent laryngeal nerve. Hydrocephalus or arnold chiari malformation can often cause b/l paralysis

6

Tracheomalacia

Produces expiratory stridor.

7

Rendu-Osler-Weber Syndrome

AD syndrome of telangectasias including pulmonary AVMs

8

What is the aspirin triad?

Allergy to ASA, nasal polyps, asthma

9

Jeune Syndrome

AR - short ribs, small rib cage and renal disease. Resp failure common

10

What is genetics of SMA?

AR

11

Which sinuses are present at birth?

maxillary and ethmoid?

12

When do sinuses develop?

front and sphenoid start to develop at 1-2 years but are not radiographically visible until 7-8

13

Remember* Rheumatic fever only occurs after GAS pharyngitis, but PSGN can occur after skin or pharyngitis

Remember

14

Strep throat criteria

Centor Criteria - no cough, fever, cervical LAD, tonsillar exudates. 0-1 no nee dfor antibiotics, 2-3 test, 4 treat with amox

15

Most common pathogens of retropharyngeal abscess

GAS, staph, oral anearobes

16

Antibiotic treatment for retropharyngeal abscess.

Unasyn, Amp and clinda

17

Treatment of ABPA

itraconazole and steroids

18

What percent of patients with asthma will outgrow symptoms by adulthood?

60% (severe asthma is 30%)

19

When are cleft lip and cleft palate usually repaired?

cleft lip 10 weeks, cleft palate 6-9months

20

Do you remove thyroglossal duct cysts? how about lingual thyroid?

you do remove thyroglossal duct cysts. Can keep lingual thyroid

21

At what age does laryngomalacia present?

2 weeks

22

What syndrome are glottic webs associated with?

velocardiofacial syndrome

23

If note pulmonary AV malformation, what syndrome should you think of?

Rendu - Osler - Weber syndrome

24

What is eventration?

marked elevation of the diaphragm. Usually congenital but can be 2/2 phrenic n. injury as well. More commonly affects the left.

25

What is the most common complication of a URI?

Otitis media

26

AFter what infection does rheumatic fever occur?

Strep throat, not strep skin infection

27

What are infectious indications for tonsillectomy

3 infections per year x 3 years, 4-5 infections in past 2 years, 5-7 infections in last year

28

Treatment of epiglottitis

antistaph drug (oxacillin, clinda) and ceftriaxone

29

Treatment of ABPA

steroids and itraconazole

30

Treatment of cocciodomycosis ( valley fever)

fluconazole

31

what organism should you think of in hunters or skin animals from Arkansas or Missouri?

Tularemia

32

What animals transmit Q fever (coxiella)

cattle and sheep

33

What are the extrapulmonary manifestations of mycoplasma?

hemolytic anemia, splenomegaly, EM and SJS, arthritis, neurologic changes.

34

What are side effects of theophylline toxicity?

GI upset and behavioral effects

35

Which meds can worsen theophylline effects? (inhibit p450)

cimetidine, OCPs, erythromycin, cipro

36

Which meds can diminish activity of theophyilline?

Phenobarb and phenytoin

37

What age can you use omalizumab

> or = to 12

38

after which infection is bronchiolitis obliterans most often found

adenovirus

39

What is Kartagener syndrome

AR, primary ciliary dysfunction, situs inversus and reduced male fertility

40

Which women should get prenatal steroid?

Women 24-34 weeks gestation with intact membranes who are at risk for premature delivery within the next week.

41

What is a normal sweat chloride?

42

What do we use for CF newborn screening?

test for elevated blood immunoreactive trysinogen. Few false negatives, but many false positives

43

most common cause of lung transplant in kids

CF

44

Which PaCO2 in an asthmatic suggests need to go to ICU

>42mmHg

45

Which conditions present with cyanosis at birth?

transposition of the great arteries, completed tricuspid atresia , ebstein anomaly