Acute bronchitis Asbestos problems ↑ neumonia
limiting infection(usually
chest benign and don't Pneumoniae in
·
CAP
·
self pleural plaques n
·
+ =
strep ,
viral) +
cough (dry or productive), need follow up . catarrhalis (immunocomp/chr
sore throat ,
vinorrned ,
wheeze .
·
pleural thickening
·
HAP =1
acquired after 48 hour
·
clinical diagnosis
·
asbestosis : severity linked to exposure Bronchiectasis ission
. S
.
Pneum ,
MRSA
, ps .
ae
·
mx : analgesia , plenty of fluids ,
=
Lower zone fibrosis dyspnoea b :
,
·
permanent dilation of bronchi
·
inv : sputum cultu
doxycycline (amox in children
+ exercise tolerance clubbing bilateral , , 2
:
to chronic infect inflam U + E , Cultures ,
C
preggol end inspiratory crackles
-
·
causes =>
post infece g "B .
.
,
·
mxbased on CUR
↳
only give ab if systemically LFT-restrictive wit gas transfer n influenzae CF , ciliary 0-1 home amox for 5 da
-
unwell
-
, ,
: ,
comorbidities ,
CRP
of 20-100 .
-
treat conservatively dyskinesis e .
. Kartagener's
g .
-
2 : hospadmission ,
Poa
·
Mesothelioma : Cancer
of Mesothelial
·
:
productive cough .
↑ sputum ,
-
24 : IV coamox + clarith
Bronchiolitis layer of pleural cavity :
dysphoea ,
dysphoea , haemoptysis, ↳
after 6 weeks do a follow up
RSV usually the 196 weight chest wall pain clubbing, clubbing Aspiration Pneumonia :
·
cause ; maternal loss , ,
.
protects us this in newborns. pleural effusion .
·
inv : sputum culture , FBC , CRP ,
·
foreign body enters bronch
in winter of serious inv : CXR CT aspiration CXR CT (signet rings) spirometry chemical Pneumonitis.
·
common cause pleural
-
, , , , , ,
LRT infec in < 1s
. More serious if thoracoscopy biopsy ,
·
MX : inspiratory muscle training,
·
RF : "dental hygiene swa ,
premature cong & disease (F mx chemo prognosis airway clearance (hydrate Chest
prolonged hospitalization .
-
, ,
: +
surgery , poor ,
cough S 0 B wheeze feeding issues lung smoking cessation physio saline nebs mucolytics) middle + lower lobes are
· ·
cancer -
can r.
.
.
, , , , ,
grunting cyanosis b0z 999 help s risk !!
regular vax
- -
=
, ,
supportive mx : humidified O2 via headbox Localised Consider lobectomy Influenza
·
?
-
RNA virus typically in w
·
,
Asthma ↓appetite joint ache d , ,
Intermittent
·
reversible airway obstruction +
hyperreactivity :
dyspnoed
·
point of care/ viral swab
Respirator Y
, ,
chest lightness wheeze cough due to allergens cold exercise aspirin if risk of compl give
·
, , , , , , at ,
·
RF : F H/p I of
- ·
atopy , antenatal factors e .
. maternal
g smoking ,
birth inhaled zanamavir
weight air pollution nasal polyps COPD
~rais
,
.
,
diagnosis Spirometry + BDR FeNO chronic bronchitis (cough Pleur
·
+
? 3 Months
·
: + sputum for ,
B
-5
diagria clinical judgement FeNO
< 40(a)(30(c)
for 2 consecutive years)
+
emphysema ( : alveolar
-
=
transudate 3
try peak flow variability ; better on holiday away integrity- enlarged air spaces HF
-
·
·
hypoalbumin
from work. ·
RF :
smoking + al antitrypsin ↓ ·
hypothyroid -
·
meig's : Ovana
acute asthma attack cough dyphoea wheeze barrel Chest
·
·
:
OSHIMTE , , ,
tumour + ascit
may require intubation inv : sputum culture FBC UE LFT CRPIESR lights cri
-
· ·
, , , , , ,
Ventilation + 1Th involvement ABG , CXR(flat diaphragm ,
hyperexpansion) ,
transuda
·
to discharge Stable on meds for 12-29h : (no Oz ornebs) , spirometry (FEV1 : FVC >0 7) . ·
my : aspir
Inhaler technique checked recorded +
,
PEFs 75 % borp .
·
MX :
·
empyera
↑ LD
