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15. Pulmonary
Rapid Review - First Aid
25
Medical
Professional
07/25/2015

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Cards

Term
Risk factors for DVT
Definition
Virchow's Triad
-Stasis
-Endothelial injury
-Hypercoagulability
Term
Criteria for exudative effusion
Definition
-Pleural/Serum protein >0.5
-Pleural/Serum LSD >0.6
Term
Causes of exudative effusion
Definition
-Think of leaky capillaries
-Malignancy
-Infections (Tb, bacterial or viral)
-PE with infarct
-Pancreatitis
Term
Causes of transudative effusion
Definition
-Think of intact capillaries
-CHF
-Liver or kidney disease
-Protein-losing enteropathy
Term
Normalizing PCO2 in a patient having an asthma exacerbation may indicate
Definition
Fatigue and impending respiratory failure
Term
Sarcoidosis findings
Definition
Dyspnea
Bilateral hilar lymphadenopathy on CXR
Noncaseating granulomas
Elevated ACE levels
Uveitis
Bell's Palsy
Erythema nodosum
Hypercalcemia (d/t elevated renal 1-alpha hydroxylase activity --> Vit D Activation)

Common in black females
Term
PFTs of obstructive pulmonary disease
Definition
Low FEV1/FVC
Term
PFts of restrictive pulmonary disease
Definition
High FEV1/FVC
Low TLC
Term
Honeycomb pattern on CXR.
-Dx?
-Tx?
Definition
Dx: Diffuse interstitial pulmonary fibrosis
Tx: Supportive care. Steroids may help.
Term
SVC syndrome Tx?
Definition
Radiation
Term
Mild persistent asthma Tx?
Definition
Inhaled B-agonists
Inhaled corticosteroids
Term
COPD exacerbation Tx?
Definition
O2
Bronchodilators
ABx
Corticosteroids with taper
Smoking cessation
Term
Chronic COPD Tx?
Definition
Smoking cessation
Home O2
B-agonists
Anticholinergics
Systemic or inhaled corticosteroids
Flu and pneumococcal vaccines
Term
Acid-base disorder in PE
Definition
Respiratory alkalosis with hypoxia and hypocarbia
Term
Non-small cell lung cancer (NSCLC) a/w hypercalcemia
Definition
Squamous cell carcinoma
Term
Lung cancer highly related to cigarette exposure
Definition
SCLC
Term
A tall Caucasian man presents with acute SOB.
-Dx?
-Tx?
Definition
Dx: Spontaneous pneumothorax
Tx: Spontaneous regression. Supplemental O2 if necessary.
Term
Tension pneumothorax Tx?
Definition
Immediate needle thoracostomy
Term
Characteristics favoring carcinoma in an isolated pulmonary nodule
Definition
-Age >45-50
-Lesions new or larger in comparison to old films.
-Absence of calcification or irregular calcification.
-Size >2cm
-Irregular margins
Term
ARDS
Definition
Hypoxemia and pulmonary edema with normal pulmonary capillary wedge pressure (PCWP)
Term
Sequelae of asbestos exposure
Definition
-Pulmonary fibrosis
-Pleural plaques
-Bronchogenic carcinoma (mass in lung field)
-Mesothelioma (pleural mass)
Term
Silicosis causes an increased risk of what infection?
Definition
Tb
Term
Causes of hypoxemia
Definition
-Right to left shunt
-Hypoventilation
-Low inspired O2 tension
-Diffusion defect
-V/Q mismatch
Term
Classic CXR findings for pulmonary edema
Definition
-Cardiomegaly
-Prominent pulmonary vessels
-Kerley B lines
-"bat's-wing" appearance of hilar shadows
-Perivascular and peribronchial cuffing
Term
Westermark's sign and Hampton's hump
Definition
CXR findings suggestive of PE
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