Pulmonology Buzz Words
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47 terms
Terms | Definitions |
|---|---|
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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