ARDS
CXR findings of patient with ARDs
Diffuse or patchy bilateral infiltrates
80% air bronchogram
Essentials of diagnosis of Pleurisy
Localized, sharp, fleeting, stubbing, intermittent pain from acute inflammation
Pain worse with cough, sneezing, deep breathing and movement
Hyaline Membrane disease cause and management
decrease surfactant in NB
steroids
Type of bronchogenic CA that is from bronchial epithelium and present as intraluminal mass, usually centrally located and present with hemoptysis
Squamous cell cancer
coin lesion <3cm, isolated, rounded and outlined by normal lung parenchyma
solitary pulmonary nodule
Treatment of ARDs
supportive care
If hypoxemia: intubate or PEEP mech. vent
Prone position
LOW tidal volume
Treatment of Pleurisy
Analgesics/NSAIDs:
Indomethacin 25mg 2-3x/day
Virchow's Triad of PE
Stasis
Hypercoagulability
Trauma/Surgery
Type of Bronchogenic CA that belongs to heterogenous group of malignancies, very aggressive, central or peripheral mass
Large Cell CA
TUMOR staging where it involves mainstem bronchus. Tumor size is <5cm, cause atelectasis /pneumonitis
T2
Essentials of diagnosis of ARDs
sudden onset of respi distress that quickly progress to respi failure within 7 days of known clinical insult
Diagnostic for Pleural effusion
Thoracentesis
Initial test of choice for proximal DVT
LE Duplex
Type of bronchogenic CA from bronchial region, begins centrally and spread throug mucosa to narrow bronchus WITHOUT discrete mass. Very aggressive with common metastasis
Small Cell CA
NODE staging where it involves ipsilateral mediastinal and subcarinal nodes
N2
Cause of ARDs in Newborn
surfactant deficiency
Definitive treatment for Secondary, Large, or Tension Pneumothorax
Chest tube placement
Gold standard test for PE
CT Angiography or Pulmo Angiography
Type of bronchogenic CA that is most common, from mucous gland in or distal to terminal bronchioles, usually peripheral nodules or mass
Adenocarcinoma
METASTASIS staging that is limited to the chest
M1a
Clinical findings in patient with ARDs
Labored breathing
Tachypnea
Intercostal retractions
Crackles
Marked hypoxia
Multi-organ failure
Treatment for Tension Pneumothorax in ER
large bore needle decompression
Diagnostic test of choice (#1 choice) for DVT/PE
Helical CTA PE study
Adenocarcinoma in situ
Treatment medications for Small cell lung CA
Cisplatin and Etoposide