Respiratory Medicine Flashcards
(45 cards)
surfactant chemically
Dipalmitoyl phas phaticdyl
Choline
surfactant production starts at
2o wks
peak 35 wKs
Rx Neonatal RDS
02+ CPAP
endotracheal intubation
sur factant
2° pulmonary alVeolar proteinosis
acute silicosis
milky white PAS +ve BAL
P ulm alveolar Protei nosis
crazy paving pattern
pulm alveolar protee osis
Rx pulmonary alveolar proteinsis
Whole
lung lavage
We bel’s
lungg model
23 gen
Acinus
resp bronchioles
+ alveoli
aspiration commrom in
which lobe
sitting/standing RLL post
overall, sup ine → RLL sup> RUL post
BXIs more common in
left
lower lobes
Radio lucent
FB
plastic
wood
food
Best investigation
for FB
Bronchoscopy
mcc hemoptysis
B.A.
T.B
massive
hemoptysis
100-15O me/episode
400-600ml/day
mcc massive
hemoptys is
BX IS
mcc death
in massive
heroptysis
blood clot asphyxiation
cardiac)
vascular causes of
hemoplysis
HF ms p E
pulm AU malformation
systemic
causes of
hemoptysis
coagulopathy
Good pasturesyndrome
CTD lung diseases
small vessel vasculitis
Basic evaluation of he moplysis
CBC
CXR
sputum
CT chest
T-OB
… …
massive unstable hemoptys is
stabilise
rigid bronchoscopy
low risk
non massive hemoptys is
CXR N oomal
CT chest, FOB
only if reccarant
reassure#
antibiotic
Rx persistant
hemoptysis
Bronchial A
embolisation
Resection of
affected lobe
apex base IPP
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