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Pulm PANCE
pulm word assoc for PANCE
47
Other
Graduate
05/23/2012

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Cards

Term
Rapid, deep labored breathing
Definition
Kussmaul breathing – DKA, Metabolic acidosis
Term
Deep breathing alternating w/ apnea
Definition
Cheyne-Stokes breathing – heart failure, brain damage
Term
Cavitations on CXR
Definition
Infections – lung abscess, TB (Gohn focus)
Term
Apical infiltrates, F, C, dry cough
Definition
TB
Term
Pleural thickening on CXR
Definition
Mesothelioma
Term
Hilar mass on CXR
Definition
Lung Ca
Term
Eggshell pattern on CXR
Definition
Silicosis (Sandblasters)
Term
Ground glass appearance on CXR
Definition
Asbestosis (shipbuilders, building demolition)
Term
Reticular to nodular pattern on CXR
Definition
Coal Miner’s lung
Term
Patchy fibrosis on CXR
Definition
Farmers lung
Term
Granulomas and inflammation of alveoli, small bronchi and small blood vessels
Definition
Sarcoidosis
Term
Dyspnea after surgery, travel (airplane), LE Fx. May have c/o calf pain also.
Definition
DVT/PE
Term
Lung scan with perfusion defects
Definition
PE
Term
Venous stasis, vessel wall injury, hypercoagulability
Definition
DVT/PE (Virchow’s triad)
Term
Pediatric with barking cough, stridor
Definition
viral croup (laryngotracheobronchitis); Tx w/ racemic epi and glucocorticosteroids if stridor at rest.
Term
Pediatric wheezing
Definition
lower respiratory FB, asthma
Term
Drooling, sniffing position, tripod, toxic
Definition
Epiglottitis
Term
Thumbprint sign
Definition
Epiglottitis
Term
Steeple sign
Definition
FB, viral croup (laryngotracheobronchitis)
Term
Inspiratory stridor
Definition
FB, viral croup (laryngotracheobronchitis)
Term
Premature infant with respiratory distress
Definition
Hyaline Mb Disease
Term
Preemie CXR w/ hypoexpansion (ATX), air bronchograms
Definition
Hyaline Mb Disease
Term
Smoker, chronic productive cough. NO hemoptysis, wt. loss.
Definition
Brochitis (COPD)
Term
Smoker, DOE, cough
Definition
COPD
Term
Hyperinflation on CXR, tear drop heart
Definition
Emphysema
Term
Wheezing, prolonged expiration
Definition
Asthma
Term
Airway edema with eosinophils, neutrophils, lymphocytes
Definition
Asthma
Term
Fever, cough, sputum. Crackles, decreased breath sounds, dullness to percussion, +egophony, pectoriloquy. CXR – infiltrates or consolidation
Definition
Pneumonia
Term
>35yo with PNA. Rusty colored or yellow-green sputum. Acute onset F/C
Definition
Strep. Pneumonia
Term
<35 yo, college students. Fever, cough, +/- sputum, chills, muscle aches
Definition
Mycoplasma pneumonia
Term
Bullous myringitis
Definition
Mycoplasma pneumonia
Term
PNA w/ Smokers, COPD
Definition
H. influenza
Term
PNA w/ DM, immunocompromised, EtOH. Currant color sputum.
Definition
Klebsiella
Term
PNA w/ Water, late summer, construction site. Diarrhea. Toxic looking
Definition
Legionella
Term
PNA from Nursing homes, chronic care facility. Purulent sputum
Definition
Staphylococcus aureus
Term
PNA & HIV+, AIDS, Immunocompromised. Sx out of proportion to exam. Diffuse interstitial & alveolar infiltrates
Definition
Pneumocystis jerovecii; TMP-SMX = Drug of choice
Term
PNA & decreased mental status, poor dental hygiene, dentures, foul smelling sputum, bronchiectasis. Patchy infiltrates in dependant lung zones
Definition
Aspiration PNA
Term
Pediatric with Hx recurrent lung infections, pancreatitis, reproductive problems, FTT
Definition
Cystic fibrosis (Staph & Pseudomonal infections usually cause of death)
Term
Sweat chloride test
Definition
Cystic fibrosis
Term
Cystic fibrosis w/ PNA
Definition
Pseudomonas aueroginosa causative agent
Term
< 2 days post-op with fever
Definition
Atelectasis
Term
Stab wound, hyperresonance to percussion, decreased breath sounds, tympany
Definition
Pneumothorax
Term
Stqb wound, dullness to percussion, decreased breath sounds.
Definition
Hemothorax
Term
Tall, skinny, male, band student, acute onset one-sided chest pain, dyspnea
Definition
Spontaneous PTX
Term
Stab wound to chest. Hypotension, tracheal shift
Definition
Tension PTX
Term
Poor sleeping, obese, daytime fatigue & drowsy, snoring, HTN, PM wakening
Definition
Obstructive sleep apnea
Term
s/p thoracic trauma. Multiple rib fractures. Chest wall moves in with inspiration, out with expiration.
Definition
Flail chest (pain control, incentive spirometry, pulmonary toilet, intubation)
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