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Flashcards in Respiratory Deck (41)
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1

Some things you look for at the bed side

Sputum pot, inhalers, nebuliser

2

What might cause wasting of the intrinsic muscles

T1 nerve invasion by an apical lung cancer

3

Cause of a fine tremor

Beta agonists eg. Salbutamol

4

Flapping asterixis is seen when

Respiratory failure

5

Bounding pulse could mean

CO2 retention

6

When is pulses paradoxus seen

Sever obstructive airways disease and cardiac tamponade

7

What is cardiac tamponade

Effusion in the pericardium

8

Raised JVP indicates

Cor pulmonale

9

Raised non pulsatile JVP seen when?
What other features

Superior vena cava obstruction due to lung cancer
Oedema of the face and neck

10

What is horner's syndrome?
Signs

Damage to the sympathetic trunk
Miosis (constricted pupil), ptosis (a weak, droopy eyelid), apparent anhidrosis (decreased sweating), with or without enophthalmus (inset eyeball).

11

What is chemosis
Possibly due to

Eye irritation
Hypercapnia 2* to COPD

12

Facial swelling is seen in

SVC obstruction

13

Which way does the trachea deviate with pathology ? Eg. Of each

Towards pulmonary fibrosis or collapse
Away from effusion or tension pneumothorax

14

When would tactile vocal femitus be increased? Decreased?

Consolidation (sound travels quicker through solid)
Effusion / pneumothorax

15

Lungs hyper resonant ?
Dull?

Pneumothorax
Consolidation / effusion

16

When would you hear corse crackles?
Fine crackles?

Consolidation / oedema
Pulmonary fibrosis

17

Cachexia features of

Malignancy , TB

18

Stridor is obstruction of

Large airways

19

Respiratory causes of clubbing

Cancer, fibrosing alveolits, abscess, bronchiectasis, empyema

20

Wasting of small muscles of hand could be

Lung cancer involving brachial plexus

21

Red, warm, clammy palms may indicate

Co2 retention

22

Horners syndrome could be due to

Apical lung cancer compressing sympathetic nerves in neck
(Ipsilateral pupil contraction And partial ptosis (drooping eyelid)

23

Raised JVP due to?
Respiratory cause

Right heart failure
Cor pulmonale

24

Causes of pectus carinatum (pigeon chest)

Childhood asthma or rickets

25

Causes of pectus excavatum (funnel chest)

Congenital

26

Normal air entry sound is

Vesicular

27

What are bronchial breath sounds ?
Associated with?

Loud inspiratory and blowing expiratory
Long consolidation and pulmonary fibrosis

28

Cause of wheezes

Exhalation sounds caused by narrowed airways

29

Early inspiratory crackles indicate

Obstruction in central airways

30

Late inspiratory crackles indicate?

Shrunk lungs - lung fibrosis, pneumonia, heart failure