WEEK 3
Being on long term inhaled corticosteroids may lead to a higher rate of pneumonia in COPD users. What prevention can help reduce the patient's risk of developing pneumonia?
ANNUAL FLU AND PNEUMONIA VACCINE
WHICH CHROMOSOME IS AFFECTED BY CF?
CHROMOSOME 7
MOST CASES OF PNEUMONIA ARE CAUSED BY
VIRUSES
WHAT MEDICATION DO YOU GIVE FOR PSEUDOMONAS AERUGINOSA?
TOBRAMYCIN
IS TB RESTRICTIVE OR OBSTRUCTIVE?
RESTRICTIVE
NAME THE TWO MAJOR TYPES OF EMPHYSEMA.
PANACINAR (PANLOBULAR) AND CENTRIACINAR (CENTRILOBULAR)
WHAT ARE THE 3 DIFFERENT PATTERNS OF BRONCHIECTASIS?
Cylindrical Bronchiectasis
Cystic Bronchiectasis
Varicose Bronchiectasis
OR
Fusiform Bronchiectasis
Saccular Bronchiectasis
Tubular Bronchiectasis
VENTILATOR ASSOCIATED PNEUMONIA DEVELOPS IN
48-72 HOURS
WHAT MEDICATION DO YOU GIVE FOR RESPIRATORY SYNCYTIAL VIRUS?
RIBAVIRIN
NAME A PATIENT POPULATION THAT COULD RESULT IN ATELECTASIS?
POST-OP PATIENTS, PATIENTS WHO WON'T TAKE A DEEP BREATH, RESTRICTIVE LUNG DISEASE
WHAT ARE THE PARAMETERS TO CLINICALLY DIAGNOSE SOMEONE WITH CHONIC BRONCHITIS?
Chronic cough for 3 months in 2 consecutive years.
WHAT IS THE HALLMARK OF BRONCHIECTASIS?
THREE LAYERED SPUTUM
WHEN CAN HOSPITAL AQUIRED PNEUMONIA DEVELOP?
48 HOURS AFTER ADMISSION
WHAT MEDICATION DO YOU GIVE FOR PNEUMOCYSTIS CARINII?
PENTAMADINE
A patient has been found to have tuberculosis (TB) in several organs of the body. What term is used to describe this situation?
DISSEMINATED TB
WHAT DISEASE PROCESS PRESENTS WITH A STOCKY PATIENT, OVERWEIGHT, AN ENLARGED LIVER,CYANOTIC, PITTING EDEMA, DISTENDED NECK VEINS, COPIOUS AMOUT OF PURULENT SECRETIONS AND A SEVERE COUGH IN THE MORNINGS?
CHRONIC BRONCHITIS, BLUE BLOATER
WHO AM I?
I AM A CHRONIC DISORDER, MY LUNGS MAKE MY CHEST TIGHT, I CAN SOUND DIMINISHED AND I CAN WHEEZE. YOU CAN FIND CHARCOT LEYDEN CRYSTALS IN MY SPUTUM AND WELL AS KIRSCHMAN'S SPIRALS. CHEST XRAY REVEALS INCREASED TRANSLUCENT (DARK) LUNG FIELDS, FLATTENED DIAPHRAGM AND INCREASED RIB SPACING.
WHAT DISEASE AM I?
ASTHMA
WHAT DISEASE AM I?
I GIVE MY PATIENT THE CHILLS AND A HIGH FEVER. MY SPUTUM IS GREEN/YELLOW, YUCK! YOU CAN FEEL THE SECRETIONS IN MY CHEST AND HEAR IT IN MY VOICE (TACTILE FREMITUS & VOCAL FREMITUS). WHEN YOU LISTEN YOU CAN HEAR BRONCHIAL BREATH SOUNDS ON MY LEFT LOWER LOBE. I'M DULL ON PERCUSSION AND HAVE INCREASED DENSITY ON MY CXR AND AIR BRONCHOGRAMS.
WHAT AM I?
PNEUMONIA
WHAT MEDICATION DO YOU GIVE FOR FUNGAL INFECTIONS?
AMPHOTERICIN B
WHAT DISEASE AM I?
I AM CAUSED BY INHALING SPORES, PRODUCE THIS FROTHY, YEAST LIKE SUBSTANCE THAT LEADS TO AN INFLAMMATORY REPONSE. ON CXR, YOU SEE A CAVITY FORMATION, CALCIFICATION AND FIBROSIS. I WILL HAVE BRONCHIAL BREATH SOUNDS WITH DULL PERCUSSION NOTES.
WHAT AM I AND WHAT IS MY TREATMENT?
FUNGAL INFECTION, AMPHOTERICIN B , ALTERNATIVE KETOCONAZOLE, FLUCONAZOLE,ITRACONAZOLE
WHAT DISEASE PROCESS PRESENTS WITH REDDISH SKIN, THIN, UNDERWEIGHT, BARREL CHEST, DIGITAL CLUBBING, AND A HOOVER'S SIGN?
EMPHYSEMA, PINK PUFFER
WHAT DISEASE AM I?
I AM CHARACTERIZED BY EXTENSIVE INFLAMMATION AND DESTRUCTION OF THE BRONCHIAL WALLS, BLOOD VESSELS, ELASTIC TISSUE, WHICH LEADS TO DISTORTION FO BRONCHIAL AIRWAYS. I HAVE INCREASED TACTILE FREMITUS AND VOCAL FREMITUS. MY BREATH SOUNDS WOULD BE COARDS AND WHEN THEY PERCUSS ME IT WILL BE DULL. I AM CHARACTERIZED BY 3 LAYERED SPUTUM, AN ENLARGED HEART AND TRAM TRACKS ON MY CHEST XRAY
WHAT DISEASE AM I?
BRONCHIECTASIS
WHAT DISEASE AM I?
I AM COMPOSED OF NECROTIC LUNG TISSUE THAT COULD LEAD TO A CAVITY FILLED WITH AIR AND FLUID. MOST COMMONLY FORMED IN THE LOWER LOBES AND POSTERIOR SEGMENTS OF THE UPPER LOBE. THE CAUSITIVE AGENT IS USUALLY ASPIRATION PNEUMONIA. MY BREATH SOUNDS ARE BRONCHIAL AND MAY HAVE A PLEURAL FRICTION RUB. I HAVE GRAM NEGATIVE AND POSITIVE SPUTUM.
WHAT DISEASE AM I??
LUNG ABSCESS
WHAT IS THE TREATMENT AND MANAGEMENT OF PNEUMONIA? NAME 3
BRONCHIAL HYGIENE
OXYGEN THERAPY
THORACENTESIS
LUNG EXPANSION THERAPY
MECHANICAL VENTILATION
VAP PROTOCOL
WHAT DISEASE AM I?
I AM FOUND IN INDIVIDUALS WHO ARE MALNOURISHED, WHO COME FROM INSTITUTIONAL HOUSING OR OVERCROWDED CONDITIONS. IF I COUGH ON YOU, YOU WILL GET MY DISEASE. CXR REVEAL A GHON NODULE AND A GHON COMPLET. I CAUSE DIAPHORESIS. i HAV BRONCHIAL BREATHSOUNDS WITH SOME INTERMITTENT WHEEZING. I CAUSE HEMOPTYSIS, NIGHT SWEATS AND COUGHING.
WHAT DISEASE AM I?
TB