Pulmonary Rosh Review
A 4-year-old is brought to the emergency department by his parents after they found
him in the backyard shed choking and gagging. Before this event, he was otherwise
healthy. His temperature is 101°F, heart rate is 95, blood pressure is 100/60, and
respiratory rate 40. On exam, he appears sleepy but continues to cough. Pulmonary
findings include moderate retractions and diffuse wheezes. A chest X-ray shows patchy
infiltrates. What is the most likely diagnosis? - ANS-Hydrocarbon ingestion
A 64-year-old man presents with a headache and cough for the past week. Physical
exam shows facial edema, facial plethora, and prominent venous distention of the
chest. His history is significant for lung cancer. what is the most likely diagnosis -
ANS-SVC syndrome
Are solitary lung nodules usually benign or malignant? - ANS-benign
atypical pneumonia associated with contaminated water sources and sx of non-bloody
diarrhea - ANS-legionella
best initial test to confirm the presence of a PE - ANS-helical CT angiography
bibasilar crackles on auscultation
calcifications in the lower lobes
honeycombing and ground glass appearance
decreased lung volume
h/o work on old buildings, old insulation, ship building - ANS-asbestosis
common bacterial pneumonia in extremes of age, immunocompromised, and those with
underlying pulmonary dz - ANS-H flu
common causes of hospital-acquired pneumonia - ANS-staph aureus
, pseudomonas
MRSA
Common factors that precipitate COPD exacerbations - ANS-viral upper respiratory
infections (such as rhinovirus infection)
bacterial infections
excessive exposure to smoke or smog
inadequate use of medications that control COPD symptoms
CT of pneumoconiosis - ANS-small, round opacities which denote inflammatory areas of
dust-laden macrophages and fibrosis,
CURB65 criteria - ANS-admission if at least 2:
Confusion
Uremia
Respiratory rate >30
BP <90
age > 65
CXR of pneumoconiosis - ANS-small cystic radiolucencies described as honeycombing
CXR of typical bacterial pneumonia - ANS-interstitial infiltrates and lobar opacity
definitive management of bronchial carcinoid tumors - ANS-surgical excision
Describe sx of typical bacterial pneumonia - ANS-Sx onset is acute and severe
productive cough
May follow URI or flu
fever
dyspnea
fatigue
diagnosis of ARDS - ANS-- severe hypoxemia that is refractory to supplemental O2
- bilateral diffuse pulmonary infiltrates that SPARE THE COSTOPHRENIC ANGLES
- normal LA pressure
diagnostic gold standard for pleural effusion - ANS-thoracentesis
also therapeutic
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
