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Flashcards in Resp Long Answer Deck (14):
1

What is the clinical term for coughing up blood?

haemoptysis

2

A 62 year old male smoker has coughed up blood 4 times during the past month. His appetite has been poor and he has lost 1 stone during this period.

Diagnosis?

Lung Cancer

3

Clinical signs of lung cancer in the hands

finger clubbing

4

clinical signs of lung cancer palpating the abdomen

hepatomegaly

5

clinical signs of lung cancer examining his neck

lymphadenopathy

SVC obstruction

tracheal deviation

6

Lung cancer

give two imagines techniques you would use to define the extent of the. lesion

CXR

CT scan

MRI scan

7

Lung cancer

apart from imaging - what investigations would you do

biopsy (percutaneous or bronchoscope)

bronchoscopy

8

4 main histological types of lung cancer

small cell
large undifferentiated cell
squamous
adenocarcinoma

9

4 organs lung cancer usually spreads to

lymph nodes

adrenal gland

lung

liver

brain

bone

10

An 18 year old student present to his GP with a three day history of pleuritic chest pain, a productive cough, increasing SOB, fever and anorexia


give 6 possible clinical signs of lower lobe pneumonia / consolidation

tachypnoea

tachycardia

fever

cyanosis

reduced expansion of left chest

dullness to percussion at left base

bronchial breathing at left base

crackles

increased vocal resonance

11

3 micro-organisms which may cause pneumonia

chlyamydia psittacosis

strep pneumoniae

mycoplasma pneumoniae

staph aureus

haemophilus influenza

12

Investigations for pneumonia patient

CXR

sputum for culture

FBC

blood culture

serology

mycoplasma IgM

legionella urinary antigen

pneumococcal urinary antigen

13

two classes of antibiotics that could treat the pneumonia before a bacterial infection?

beta-lactams

macrolides

14

on admission the pneumonia man has..

temp - 38
Resp Rate - 20bpm
BP 98/60mmHg
HR 120 bpm
Oxygen Saturation 90%

what measures (not antibiotics)

supplementary oxygen

analgesia

IV fluids

Anti-pyretics