Pulmonology Buzz Words

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Created by:

skbisson  on May 20, 2011

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Pulmonology Buzz Words

Rapid, deep labored breathing
Kussmaul breathing (DKA, Metabolic acidosis)
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Rapid, deep labored breathing Kussmaul breathing (DKA, Metabolic acidosis)
Deep breathing alternating w/ apnea Cheyne-Stokes breathing (heart failure, brain damage)
Cavitations on CXR Infections (lung abscess, TB)
caseating granulomas, Apical infiltrates, Fever, Chills, dry cough, night sweats TB
Pleural thickening on CXR Mesothelioma
Hilar mass on CXR Lung Ca
Eggshell pattern on CXR Silicosis (Sandblasters)
Ground glass appearance on CXR Asbestosis (shipbuilders, building demolition)
Reticular to nodular pattern on CXR Coal Miner's lung
Patchy fibrosis on CXR Farmers lung
Non caseating Granulomas and inflammation of alveoli, small bronchi and small blood vessels Sarcoidosis
Dyspnea after surgery, travel (airplane), LE Fx. May have c/o calf pain also. DVT/PE
Lung scan with perfusion defects PE
Venous stasis, vessel wall injury, hypercoagulability DVT/PE (Virchow's triad)
Pediatric with barking cough, stridor viral croup (Tx w/ racemic epi and glucocorticosteroids if stridor at rest)
Pediatric wheezing lower respiratory FB, asthma
Drooling, sniffing position, tripod, toxic Epiglottitis
Thumbprint sign Epiglottitis
Steeple sign viral croup (laryngotracheobronchitis)
Inspiratory stridor FB, viral croup
Premature infant with respiratory distress Hyaline Mb Disease
Preemie CXR w/ hypoexpansion (ATX), air bronchograms Hyaline Mb Disease
Smoker, chronic productive cough. NO hemoptysis or weight loss Bronchitis (COPD)
Smoker, DOE, cough COPD
Hyperinflation on CXR, tear drop heart Emphysema
Wheezing, prolonged expiration Asthma, COPD
Airway edema with eosinophils, neutrophils, lymphocytes Asthma
Fever, cough, sputum. Crackles, decreased breath sounds, dullness to percussion, +egophony, pectoriloquy. CXR - infiltrates or consolidation Pneumonia
>35yo with PNA. Rusty colored or yellow-green sputum. Acute onset F/C Strep. Pneumonia
<35 yo, college students. Fever, cough, +/- sputum, chills, muscle aches Mycoplasma or chlamydia pneumonia
Bullous myringitis Mycoplasma pneumonia
PNA w/ Smokers, COPD H. influenza
PNA w/ DM, immunocompromised, EtOH, current jelly sputum. Klebsiella
PNA w/ Water, late summer, construction site. Diarrhea. Toxic looking Legionella
PNA from Nursing homes, chronic care facility. Purulent sputum Staphylococcus aureus
PNA & HIV+, AIDS, Immunocompromised. Sx out of proportion to exam. Diffuse interstitial & alveolar infiltrates Pneumocystis jerovecii (TMP-SMX = Drug of choice)
PNA & decreased mental status, poor dental hygiene, dentures, foul smelling sputum, bronchiectasis. Patchy infiltrates in dependant lung zones Aspiration PNA
Pediatric with Hx recurrent lung infections, pancreatitis, reproductive problems, FTT, thick, green sputum Cystic fibrosis (Staph & Pseudomonal infections usually cause of death)
Sweat chloride test Cystic fibrosis
Cystic fibrosis w/ PNA Pseudomonas aueroginosa causative agent
< 2 days post-op with fever Atelectasis
Stab wound or broken ribs, hyperresonance to percussion, decreased breath sounds, tympany Pneumothorax
Stab wound, dullness to percussion, decreased breath sounds. Hemothorax
Tall, skinny, male, band student, acute onset one-sided chest pain, dyspnea Spontaneous PTX
Stab wound to chest. Hypotension, tracheal shift Tension PTX
Poor sleeping, obese, daytime fatigue & drowsy, snoring, HTN, PM wakening Obstructive sleep apnea
s/p thoracic trauma. Multiple rib fractures. Chest wall moves in with inspiration, out with expiration. Flail chest (pain control, incentive spirometry, pulmonary toilet, intubation)

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skbisson