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Frequency of symptoms, FEV1 and rx in asthma
<2 days/week <2nights/week- >80% albuterol
>2 days/week >2 nights/week- >80%alb + low dose ICS
daily symptoms and >1 night/week- 60-80% alb +mod dose ICS + salmeterol
continual daily symptoms and frequent nighttime episodes-<60% alb + high dose ICS +salmeterol + po prednisone
Indications for home oxygen in copd?
- paO2 <55% or sao2 <88
- and signs of right sided heart failure
- pulmonary htn
- peripheral edema
What are the stages of copd and what FEV1 values correspond to them and rx
- stage 1 >80%- albuterol or ipratropium
- stage 2 50-80%- alb +salmeterol
- stage 3 30-50%- alb + salm + ICS
- stage 4 <30%-Alb + salm + ICS + theophylline + O2
how to tell chronic bronchitis from emphysema?
what decreaes mortality in copd?
what increases risk of lung cnacer?
rx for idiopathic pulmonary fibrosis?
steroid + azathioprine
what pneumoconiosis increases risk for tb infection?
rx for good pastures?
Most accurate test of IPF?
what 2 pneumoconiosis increase ca risk?
patient presenting with acanthosis nigricans, next best step?
check blood glucose level
most common cause of acute glomerulonephritis ?
berger dz post URI
presentation of wiskot aldrich syndrome?
what tells you the severity of schock?
rx for pulmonary htn?
- endothelin antagonist--bosentan
- prostaglandin agonists
- phosphodiesterase inhibitors--sildenafil
next step when suspecting pulmonary hypertension?
most accurate step?
pharmocology in rapid intubation?
- induction of anastesia--midazolam
- paralytic--succinylcholine, recoronium
placement of a chest tube in pneumothorax?
- midclavicular line--2 ics
- midaxillary line---6 ics
rx for croup?
- aerosolized epinephrine
- po prednisone
rx for epiglottitis
rx for cf?
- b2 agonist
- dnase or n acetycystein-
- hypertonic saline
what are the 3 drugs for pseudomonas?
- penicillins---ticeracillin or cephalosporing
drug given in increased icp before you intubate?
what meds shud asthmatics avoid?
what are the 2 variants of asthma?
do u discontinue theophylline in acute exacerbtion?
no, you leave it
what decreases levels of theophylline/?
what decreses mortality in copd?
- stop smoking
most accurate test for pneumoconiosis?
rheumatoid arthritis nodules in the lung + coal workers pneumoconiosis
from what veins of the lower extremity due dvt arise?
deep veins including superficial femoral vein
/3 acquired thrombophilia
- lupus anticoagulatn
- oral contraceptives
a normal vq scan means what chance of pe?
when suspecting a pe, and a doppler of leg shows a dvt, this means?
rx of pe with hemodynamic instability and antigoagulation contraindication?
embolectomy and IVC filter
rx of post thrombotic syndrome?
HIT causes bleeding or clotting?
dx of HIT?
platelets decrease by 50%
what is the only thrombocytopenia that cuases thrombosis?
the only hypercoagulability that causes arterial thrombosis?
APL--elevated ptt and hypercoagulable
presentation of fat embolism?
- petechiae around neck and axila
rx for sleep apnea?
rx for central sleep apnea
cnacer affecting the brachial plexus
Rx of svc syndrome?
radiation of the tumor
lung cancer + hoarsness means?
metastasis and non resectable
what stage of lung cancer is unresectable?
lung mass and an effusion, next best step?
thoracocentesis and analysis
the fev1 has to be at least what to be resectable?
when is lung cancer non resectable?
- metastasis to outside of the lung anywhere
- metastasis to pleura--producing effusion
- close to the carina/main stem bronchus
- metastasis to the other lung