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anatomic/path correlations in resp disease
RPM II
21
Medical
Graduate
05/12/2010

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Cards

Term
what is the danger with nasal polyps?
Definition
they can increase resistance to flow through the upper respiratory tract, some are potentially malignant or can attract infection
Term
can sinusitis lead to brain infection?
Definition
yes potentially
Term
what would a pulmonary angiogram (CT w/contrast) tell you about the lung?
Definition
whether there was a clot in the lung
Term
what would be a potential dx for a CXR of a chest w/an enlarged heart?
Definition
CHF - which would also be accompanied most likely by build up of fluid in the lungs
Term
what is a term that radiologists commonly use for the appearance of pneumonia on CXRs?
Definition
bat-wings
Term
can the heart sometimes hide pneumonia?
Definition
yes, which is why the lateral view is essential
Term
what information is essential when viewing CXRs?
Definition
how the CXR was taken, was the pt upright, holding a breath, etc
Term
where is the greatest hydrostatic pressure in the lung?
Definition
at the base
Term
what is the classic EKG presentation of a PE?
Definition
S1Q3T3
Term
can a pt with PE have a normal CXR w/a normal cardiac silhouette?
Definition
yes
Term
where is TB often seen initially in the lungs?
Definition
the apices
Term
what is the constellation of symptoms that is consistent w/a TB infection?
Definition
rales, low grade fever, bloodly/frothy sputum, weight loss
Term
what does it tell you if the blood pts spit up is brown w/the appearance of coffee grounds?
Definition
the stomach is likely involved - acid turns blood brown+clumpy
Term
what can help you determine if a foreign object is in the trachea or esophagus?
Definition
lateral view
Term
which bronchial stem is more likely to receive an inhaled foreign object?
Definition
the R main stem bronchus
Term
what is one of the biggest causes of airway obstruction?
Definition
the tongue
Term
how would a pneumothorax appear on a CXR?
Definition
a large dark space in place of the lung, possibly pushing the heart and mediastinum over
Term
can pneumothorax put pressure on the R ventricle and keep the heart from filling as completely?
Definition
yes - which will drop systolic pressure, causing CO and thus BP to increase
Term
what is a tension pneumothorax?
Definition
where pressure from a collapsed lung is strong enough to deviate the trachea
Term
what is a hemothorax?
Definition
collapsed lung w/internal bleeding
Term
what can happen to the lungs if there is damage to the diaphragm?
Definition
diaphragmatic hernia, where the intestines move into the chest cavity and compress the lungs (will present as bowel sounds in the chest cavity)
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