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47 terms

Pulmonology Buzz Words

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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)