TB, PE, Sleep Apnea DSA Flashcards Preview

RESP II Exam 2 > TB, PE, Sleep Apnea DSA > Flashcards

Flashcards in TB, PE, Sleep Apnea DSA Deck (28):
1

necrotizing granulomatous disease with ziehl-neelsen staining

mycobacterium tuberculosis

TB

2

primary TB

Dx - tuberculin skin test
-fever, SOB, non-prod cough, erythema nodosum

CXR opacities in midlung with hilar lymphadenopathy

3

ghon complex

primary TB
-small calcified scar in midlung fields and associated hilar node

4

ranke complex

late fibrocalcific lesions of lung and hilar node

5

progressive primary TB

failure to develop immunity
-children, elderly, immunocompromised

6

reactivation TB

pulmonary, pleural, miliary, meningitis, pericarditis, lymphadenitis, peritonitis, GI, renal, vertebral osteomyelitis

7

miliary TB

small dots everywhere

8

latent TB diagnosis

PPD induration based on patient risk

interferon gamma release assay IRGA

9

active TB diagnosis

acid fast sputum smear and culture

10

latent TB infection Tx

INH for 6-9 months

11

active TB infection Tx

INH, rifampin, ethambutol, pyrazinamide for 2 months

followed by INH/rifampin for 18 weeks

12

pulmonary embolism

obstruction of pulmonary a by material traveled to lung

DVT, fat, amniotic fluid

13

venous thromboembolism

3rd most common cause of CV death after MI and stroke

14

risk fx for venous thromboembolism

age, obesity, cancer, surgery, immobile

virchows triad

15

hypercoag

factor V mutation
protein C
protein S
antithrombin III

16

dyspnea, tachypnea, hypoxemia, pleuritic chest pain, cough, anxiety, syncope, split second heart sound, leg swelling

PE

17

D-dimer

PE test

18

CT pulmonary angiography

for PE

19

V/Q scan

inhale xenon or technetium

IV technetium albumin

results - high, intermediate, or low probability

for pt allergic to contrast or during pregnancy

20

ultrasound of lower extremities

for DVT

21

PE EKG

S1Q3T3 pattern, RBB, limited sensitivity

more commonly - sinus tachycardia

22

Tx for PE

anticoag - heparin, low MW heparin, warfarmin, rivaroxaban

if severe - thrombolytics

23

cyclic obstruction of upper airways during sleep with disturbed sleep
-daytime sleepy and loud snoring

sleep apnea

24

obstructive apnea

absent airflow for at least 10 seconds with continued vent effort

25

hypopnea

partial obstruction

26

dx of sleep apnea

polysomnohraphy
-EEG, EKG, resp effort, O2 levels, electro-oculography

27

tx for sleep apnea

CPAP
O2
weight loss
tracheostomy

28

prognosis of sleep apnea

increased risk of long term mortality in middle aged men

high risk - with HTN association