Qtr 5 PE Larose

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Author:
bradley.knox
ID:
245060
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Qtr 5 PE Larose
Updated:
2013-11-04 21:03:39
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chest exam
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chest exam
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  1. Paroxysmal attacks of wheezing and SOB
    Asthma
  2. Cheyne-Strokes respiration: periodical irregular breathing
    Congestive Heart Failure
  3. Boit's respiration: irregular irregular or ataxic respirations
    Damage to medulla (CVA)
  4. Kussmal's breathing: fast deep hyperventilation
    Ketoacidosis (other disease that cause increase hydrogen ions)
  5. Rust colored sputum
    Streptococcus pneumoniae
  6. red currant jelly sputum
    Klebsiella pneumoniae
  7. continuous high pitched musical sounds caused by narrowing of the lumen of smaller respiratory passageways (bronchioles)
    Wheezes: Asthma, COPD, Bronchitis, CHF
  8. Low pitched musical notes that are present when fluid is in large airways (bronchi)
    • Bronchitis
    • Bronchiectasis
    • Partial obstruction
  9. intermittent non-musical sounds produced by air passing over retained airway secretion mainly on inspiration
    • Crackles (rales, crepitation)
    • CHF
    • Pneumonia
  10. 2 consecutive years of a cough lasting at least three months
    Crackles all over lungs
    Bilateral pitting ankle edema
    Chronic Bronchitis
  11. Increasing SOB
    Decreased Tactile fremitus
    Stoney Dull percussion 
    decreased breath sounds at base
    Pleural Effusion: CHF, TB, Pneumonia, Pleural metastases
  12. Fever, Chills, Pleuritic chest pain
    Increased tactile fremitus 
    Localized bronchial breathing
    Pneumonia
  13. Unilateral (lobar pneumonia)
    Streptocococcus Pneumoniae and Klebsiella Pneumoniae
  14. Bilateral (bronchopneumonia)
    • Staphylococcus Aureus
    • Haemophilus Influenza
  15. Virchow's Triad
    • Pulmonary Embolism
    • Viscosity increase (oral contraceptive)
    • Stasis of venous blood
    • Damage to wall of vein
  16. Sudden pleuritic chest pain
    SOB
    Hemoptysis 
    Sweating
    Deep vein thrombosis
    Pulmonary embolism
  17. Non-caseous granulomas (lymph and lung)
    Fibrous lung
    SOB
    Erythema nodosum
    Sarcoidosis
  18. Apical consolidation and cavitations
    Hilar Lymph
    Ghon focus
    Fever night sweats
    Cough>6wks
    bronchial breathing
    crackles apex
    erythema nodosum
    Tuberculosis
  19. Dyspnea on exertion
    Orthopnea
    Paroxysmal Nocturnal Dyspnea
    Cardiac Dyspnea
  20. Bilateral pitting edema
    PND
    Basal Crackles
    Hepatojugular reflex
    Congestive heart failure
  21. Post Streptococcus pyogenes infection (Rheumatic Fever)
    Aschoff nodules
    Antischkow giant cells
    MacCullum's patches
    Rheumatic Heart Disease
  22. XRay Findings: Thin mediastinum, Flattened Diaphragm, Enlarged Retrosternal window (lat film)
    Emphysema
  23. XRAY FINDINGS
    Absent lung markings on left
    Central Trachea
    Left-sided pneumothorax
  24. Bilateral Hilar Lymphadenopathy
    • Sarcoidosis (insidious onset SOB)
    • TB (young)
    • Lymphoma
    • Leukemia
    • Metastases
  25. Calcified hilar lymph node (eggshell or bull's eye calcification)
    Histoplasmosis (insidious onset)
  26. Obliteration of costophrenic angle 
    Clinical picture: smoker, absent: bilateral pedal edema, orthopnea, fever, night sweats
    Pleural Effusion (caused by cancerous mass)
  27. Apical consolidations and cavitation
    Tracheal deviation 
    Clinical pic: hemoptysis, night sweats, SOB
    Tuberculosis
  28. Cardiomegaly, prominent pulmonary vessels, Kerley B lines
    Clinical pic: 67 yr old, hypertensive, SOB, DOE (dyspnea on exertion), PND, bilateral ankle edema
    Congestive Heart Failure
  29. Double stranded enveloped icosahedral DNA virus-HHV3 and HHV8
    • HHV3 = Herpes Zoster
    • HHV8 = Kaposi Sarcoma
  30. 1. Gram negative Lactose-fermenting non-motile enteric bacillus
    2. Gram negative non-enteric Pleomorphic coccobacillus
    3. Gram negative, enteric, urea-splitting bacillus with flagella
    • 1. Klebsiella pneumoniae
    • 2. Haemophilus influenzae
    • 3. Helicobacter pylori
  31. 1. Gram pos catalase neg a-hemolytic cocci in strips
    2. Gram pos lancefiled group A B-hemolytic cocci in strips
    3. Gram pos catalase pos, coagulase positive coccus
    • 1. Streptococcus pneumonia and Streptococcus viridians
    • 2. Streptococcus pyogens
    • 3. Staphylococcus aureus
  32. 1. obligate intracellular parasite
    2. Round worm with two rows of hooks 
    3. Fungal eukaryotic organism
    • 1. Chlamydia pneumoniae
    • 2. Necator americanus
    • 3. pneumoncystis jiroveci (carinii)
  33. Clinical picture: paroxysmal attacks of wheezing and SOB
    Asthma
  34. Chronic productive cough with swollen legs and SOB
    Chronic bronchitis
  35. Orthopnea, paroxysmal nocturnal dyspnea, ankle swelling
    Congestive Heart Failure
  36. Pursed lip breathing, barrel chest and SOB
    Emphysema
  37. Stony dull percussion note in one lung base and SOB
    Pleural Effusion
  38. Fever, pleuritic chest pain, cough, SOB
    Pneumonia
  39. Hyper-resonant percussion note over one lung and sudden SOB
    Pneumothorax
  40. Pleuritic chest pain, hemoptysis and SOB
    Pulmonary Embolism
  41. Progressive dyspnea, red swollen bumps on legs
    Sarcoidosis
  42. Night Sweats, fever, hemoptysis, chronic cough, SOB
    Tuberculosis

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