defining features of empyema (pleural fluid)
Frank pus, positive gram stain, or positive cultures
(ph<7.2, GLUCOSE <60 does not necessarily define empyema. It suggests complicated parapneumonic effusion but other pathologies such as rhuematoid effusion can give this)
Diagnostic criteria (required) for OHS
Obesity (BMI greater than or equal to 30)
Awake daytime hypercapnia (PaCO2 >45)
No alternative cause of hypoventilation
What is the earliest indicator of ROSC in resuscitation even before a pulse is felt
Sudden rise in EtCO2 on capnography
Earliest indicator of poor asthma control
Increasing night time symptoms
Triad of fat embolism
respiratory symptoms + neurologic + petechial rash
Eponym for thyroid storm scoring system
Burch–Wartofsky Point Scale
This intervention in COPD may reduce hospitalizations, improve symptoms, and health-related quality of life BUT has uncertain benefit on overall survival
Pulmonary rehabilation therapy
Clubbing plus Image finding below
IPF
-- Honeycombing, cysts, traction bronchiectasis, especially at the bases and subpleural areas
Syndrome of recurrent hypersomnia, hyperorality, hypersexuality, and hyperphagia with onset in teen years
Kleine-Levin syndrome
(similar to Kluver-Bucy sundrome except that there is no hypersomnia in KB syndrome and it usually occurs in adults after bilateral temporal lobe damage from any cause)
eponym for diagnosis of APLS
Revise Sapporo (Sydney) criteria
More potent opioid that resuts from conversion of hydrocodone by CYP 450 2D6
Level of TGs in pleural fluid which suggest chylothorax
>110 mg/dL
Reduced levels of this chemical in CSF is seen in narcolepsy
Orexin-A (Hypocretin 1)
5 disorders testes in routine thrombophilia workup
Factor V Leiden mutation, prothrombin gene mutation, Protein S deficiency, Protein C def, antithrombin III def
(not routine> APLS, PNH, PCV, nephrotic syndrome)
Eponymous triad of hemolytic anemia, jaundice, and hypertriglyceridemia with heavy alcohol use
Zieve syndrome
SPO2 cut off for inflight oxygen supplementation for lung disease patients
spo2 <92 %
For those with spo2 92-95% PLUS other comorbities (mode-severe pulmonary htn, dyspnea during previous air travel, inability to walk 50 m without resp distress, FEV1<50), they need further testing and possible oxygen supplementation
Eponym for pulmonary sarcoidosis staging
Scadding staging (Named after John G. Scadding)