WEEK 9
What is a large embolus called that detaches from a thrombus and passes theough the right side of heart and becomes lodged in the bifurcartion of the pulmonary artery?
saddle embolus
WHAT IS DEFINED AS DOUBLE FRACTURES OF THREE OR MORE ADJACENT RIBS?
FLAIL CHEST
This refers to a posterior curvature of the spine causing a hunchback
kyphosis
In regards to lung cancer, if the malignancy or cancer is found in the airways, your PFT findings would be:
Obstructive
What are we monitoring when a patient with neuromuscular disease comes in?
NIF/MEP
VC
What are the three components of Virchow's triad?
Venous stasis, hypercoagulability, injury to blood vessels
ON XRAY WHAT ARE THE DIFFERENTIATING FACTORS BETWEEN A TENSION PNEUMOTHORAX AND A PNEUMOTHORAX?
TENSION PNEUMOTHORAX SHIFTS THE MEDIASTINUM AND HEART TO THE UNAFFECTED SIDE.
This term refers to the spine is curved to one side typically appearing in a S or C shape.
scoliosis
In regards to lung cancer, if the malignancy is found in the pulmonary tissue, chest wall, and/or the diaphragm, the PFT findings will be:
Restrictive
Give me two indicators of impending acute ventilatory failure
PaCO2 >45 mmHg
pH <7.35
NIF/MIP <-30cmH2O
FVC <20ml/kg
In regards to respiratory treatments, there are two things that can be inhaled and administered by RCPs to treat pulmonary hypertension. What are they?
iNO nitric oxide, Iloprost
A patient has a pneumothorax with a sucking chest wound resulting in the movement of gas from one lung to another. This is called:
pendelluft effect
What category of medications is commonly prescribed to manage interstitial lung disease?
Corticosteroids
What is the treatment for refractory hypoxemia?
Peep or cpap
Which disease gets better with rest?
Myasthenia Gravis
A 62 year old male was BIBA (brought in by ambulance) on a NRB at 15LPM. He is diaphoretic and short of breath. The RN ordered a whole metabolic and cardiac panel. His BNP came back at 758pg/ml. His HR is 115, RR 28 and shallow, breath sounds were scattered fine crackles throughout. On percussion dull notes were heard. CXR came and shot a film. You saw fluffy opacities that almost resembled a butterfly appearance. What does this patient have and what respiratory disorder is he suffering from?
PULMONARY EDEMA
In regards to pleural effusion fluids, this sample is commonly caused by CHF, clear, thin, watery fluid containing few blood cells and little protein
transudate
What disease am I?
I am a result of a thoracic deformity, mediastinal shift, mucus accumulation, lung compression and atelectasis. I am dull on percussion and if you listen to me, you could hear crackles and wheezing. My CXR reveals a thoracic deformity, increased lung opacities, and enlarged heart, and areas of atelectasis where my lung is compressed.
what disease am I
scoliosis
What disease am I?
I am a threatening inflammatory disease usually caused by sepsis. My alveoli responds to injury and my capillaries become engorged which makes my A/C membrane more permeable. this leads to fluid and blood flowing into my alveoli which results in surfactant getting washed out and my alveoli collapsing. On CXR it looks like ground glass.
what disease am i?
ARDS
Which disease am I?
I cause inflammation, edema and deterioration of the peripheral nervous system. Lymphocytes and macrophages strip off the myeline sheath causing ascending weakness. This causes atelectasis, mucus accumulation, and alveolar consolidation in the lungs. It makes my distal extremities tingle and send shocklike sensations, and as it gets worse, I can't breath as well and I have difficulty chewing and swallowing.
what disease am I?
Guillian Barre
A patient was transferred from the floors to the ICU. The patient was complaining of SOB was tripoding and diaphoretic. He was on 6L nasal cannula and her saturations were 86%. You switch her to NRB. She was experiencing chest pain and you did an EKG but it was normal. The RN sent out labs and you did an abg. Labs came back and your D-dimer was 11,000 Pro thrombin time was 1.2 and fibrinogen was 679. What does this patient have?
Pulmonary Embolism
In regards to pleural effusion fluid, this sample is commonly caused by infection, pulmonary disease, cancer; high in protein and cellular debris; amber in color
exudate
What disease am I?
I am characterized by bronchial inflammation, and an infiltration of WBCs in alveolar walls and interstitial spaces. Over time my alveoli gets destroyed as does adjacent pulmonary capillaries leading to cavity formation and honeycombing. Occupational and environmental exposures such as asbestos, clay, coal dust, iron, etc gave me this disease.
what am i?
ILD
What disease am I?
I appear as a large collection of tissues or little leisons in the lung. I cause inflammation, swelling of the alveoli and bronchial airways. This inflammation causes excessive mucus production and airway obstruction from both the mass and secretions. This results in further atelectsis. On CXR you will see oval or coin leisons and a large irregular mass, infiltrated from atelectasis and in worse cases pleural effusion.
what disease am i?
lung cancer
What disease am I?
I am a chronic neuromuscular disorder. I produce these ACh antibodies that block nerve impulse transmission at the neuromuscular junction. When I do physical activity, I feel week, but when I lay down for a little nap, I feel stronger. When I am physically stressed and emotional, I see my eye droop (Ptosis) but I put an ice pack on it and it gets better. I feel restricted sometimes when I breath so I'm not surprised when they tell me they can barely hear me breathing.
what disease am I
Myasthenia Gravis