pulm step 3

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Author:
pszurnicki
ID:
307426
Filename:
pulm step 3
Updated:
2015-09-06 15:59:03
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pulm step
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pulm step 3
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  1. ILD vs BOOP
    ILD-insidious onset, no response to steroids, no systemic signs, interstitial infiltrates
  2. sob as presenting symptoms, order
    • cxr
    • pulse ox
    • oxygen
    • abg
  3. asthma presenting, treatement given in 2 hours, the PEF >70, sat 90% next step
    PEF <60, sat not increasing?
    PEF<30, PCO2 >45
    • home
    • admit to medicine
    • admit to icu
  4. nitrofurantoin causes what type of side ffects
    lung fibrosis like blemoycin
  5. diagnosing asthma in symptomatic patient?
    asymptomatic
    • symptomatic pEF >12% after bronchodilator
    • methacholine challenge in asymtpomatic
  6. NIPPV indications
    • cardio pulmonary edema
    • hypoxemic RF
    • copd exacerbation with pH 7.10 to 7.30 and PCO2 45 to 90
  7. only ILD to respond to steroids
    berryliosis-electronics
  8. RVH seen how
    V1- big R wave
  9. best initial test for sarcoid
    most accurate
    best Rx for sarcoid
    • cxr- nodes
    • biopsy showing non-caseating granulomas
    • steroids
  10. rx for pulmonary htn
    • bosentan- endothelin antagonist
    • prostaglandins
    • CCB
    • sildenafil
  11. mild sleep apnea?
    severe sleep apnea
    • <20 episodes of 10 sec apnea
    • >30 episodes
  12. rx for central sleep apnea
    • medroxyprogesterone
    • acetazolamide
  13. moa of acetazolamide
    carbonic anhydrase inhibitor
  14. rx for allergies bronchopulmonary aspergiloosis
    steroids, if refractory itraconazole
  15. Dx ofr ABPA
    • aspergillus skin test
    • Serum IgE is high, a fumigatus specific antibodies
  16. Most accurate test for PCP
    Bronchoalveolar lavage
  17. when do you stop TB medications
    if LFT's are 5x ULN
  18. which subset of TB needs more than 6 months of rx
    • OM
    • cavitary, miliary TB, pregnancy, meningitis,

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