asthma
what is the hallmark symptom of asthma
wheezing😷
what do you give to a patient presenting with an acute asthma attack/mild case?
SABA - albuterol
what is a pleural effusion
fluid buildup in the pleural space
what are you going to see/hear on physical exam for a patient with pneumothorax
decreased breath sounds, hyperresonance
what is the biggest telling symptom of idiopathic pulmonary fibrosis and what test are you ordering
high res CT
you have a patient who presents with asthma symptoms but she is pregnant in her 3rd trimester, what asthma therapy can you offer her?
ICS
what are your three different ICS + LABA options?
advir, dulera, symbicort
You patient presents with cough, dyspnea, and chest tightness. they tell you they have a previous diagnosis of CHF. What type of pleural effusion does this patient most likely have?
transudative
your patient presents with hyper-resonance on precussion, dyspnea, and angina following a recent lung surgery, what type of pneumothorax is this?
traumatic pneuomothorax
you treat your patient for a UTI and now they are back with a cough, fever, and dyspnea, what caused this and what is your treatment?
nitrofuratin
it will resolve on its own in 1-4 days once med stopped
how do you screen for asthma initially? if this initial testing comes back normal what is your next step?
spirometry
if normal do methacholine challenge. change of >20% = asthma
what is the aspirin triad?
asthma, nasal polyps, and aspirin sensitivity
what cause of pleural effusion can be both transudative and exudative?
tension pneumothorax - large bore needle
what will be seen with abestosis
pleural plaques
according to the GINA guidelines, what do you do for a patient who has severe asthma (level 5)?
ICS + LABA and can add a LAMA if needed
what does the peak expiratory flow test help the provider determine?
for previously diagnosed pts - shows if need to increase bronchodilators or if current regimen is working
peak exp flow of < 50% = need to add additional therapy
you decide your patient has a pleural effusion, what is your most effective treatment option and what would you test the fluid for once removed?
thoracentesis
appearance, odor, protein, lactate, pH, glucose
you have a tall male who smokes presenting with pneumothorax and a second patient who has COPD presenting with pneumothorax, what categories do they fall into and who will be more symptomatic?
tall male - primary spontaneous
COPD pt - secondary spontaneous
pt #2 the COPD guy will be more symptomatic
what disorder causes eggshell calcification
silicosis
you have a parent who presents to your clinic saying their child can't effectively take an inhaler, they also have bad seasonal allergies along with their asthma, what is the best treatment to offer to this patient?
leukotriene inhibitor - singular or zyflo
what can you add to a pt with asthma's treatment if they have high IgE levels?
omalizumab
what is the best overall treatment for pneumothorax
thoracoscopy and pleurodesis
what causes hemoptysis and hematuria
anti-GBM