respiratory Flashcards Preview

mOSCEs > respiratory > Flashcards

Flashcards in respiratory Deck (32)
Loading flashcards...
1

hands + arms

tar staining
warmth
cyanosis
finger clubbing
cap refill
tremors
pulse + resp rate

2

warm and sweaty hands

co2 retention

3

cool hands

poor peripheral perfusion

4

resp causes finger clubbing

lung ca
interstitial lung disease
CF
bronchiecstasis

5

reps cause fine tremor

beta-2-agonist use (salbutamol)

6

resp cause flapping tremor

co2 retention

7

head + face

conjunctivae: anaemia
tongue + lips: cyanosis
face: redness, swollen tonsils

8

facial features of Horner's syndrome

ptosis
miosis
enopthalmos

9

neck

tracheal position
crico-sternal distance
lymph nodes

10

causes tracheal deviation

pneumothorax
pleural effusion

11

examination back of chest

inspection
chest expansion
percussion
auscultate
vocal resonance

12

palpation front chesr

tracheal position
crico-sternal distance
apex beat
chest expansion

13

causes of reduced chest expansion

pulmonary fibrosis
pneumothorax
pneumonia
pleural effusion

14

percussion notes

resonant: normal
dullness: consolidation, lobar collapse
stoney-dullness: pleural effusion
hyper-resonance: decreased tissue density e.g. pneumothorax

15

vesicular breath ounds

normal

16

bronchial breath sounds

harsh sounding

associated with consolidation

17

added breath sounds

wheeze
stridor
coarse crackles
crepitations

18

increased vocal resonance

increased tissue density; consolidation, tumour

19

decreased vocal resonance

pleural effusion
pneumothorax

20

resp systemic enquiry

cough
sputum
heamoptysis
SOB
wheeze
chest pain (pleuritic)
earache
sore throat

21

resp causes SOB

pneumonia, COPD, asthma

22

resp causes productive cough

pneumonia
COPD
bronchiecstais

23

resp causes dry cough

pulmonary fibrosis

24

resp causes haemoptysis

lung Ca

25

causes wheeze

asthma
COPD

26

pleuritic chest pain cuases

PE
pleurisy

27

using peak flow meter

-stand up if can
-zero device
-maximum inspiration
-airtight seal around mouthpiece, hold meter horizontal and so fingers don't touch slide
-forcefully exhale as fast as can
-note reading from scale
-use best reading out of 3 for chart

28

recognising normal PEFR

look on chart and read for patient age, sex and height

M: 100l/min below average is okay
F: 85l/min below average is okay

29

4 core inhaler groups

pressurised metered dose inhaler
pMDI with spacer device
breath accutated pressuriesed metered dose inhaler
dry powder inhaler

30

using pMDI

-sit/stand upright and lift chin
-remove cap and shake
-breath out
-mouthpeice in mouth
-breath in and press down canister
-hold breath ~10s
-if need 2nd dose wait 30-60s