Clinical Examination - Respiratory System (II)

?
  • Created by: Eltanova
  • Created on: 12-10-20 18:19
Based on the following occupational hx, what is the most common possible disease the patient can get? "Ronny dissembles old sheds and works in many old buildings as a builder for the past year. Prior to that, Ronny worked in a clothing store"
Mesothelioma
1 of 24
What respiratory side effects can be caused oestrogens?
Pulmonary thromboembolism
2 of 24
What respiratory side effects can be caused amiodarone?
Diffuse parenchymal lung disease
3 of 24
Which explanation best describes stridor?
High pitched, crowing sound heard predominantly in inspiration
4 of 24
Which explanation best describes wheeze?
High pitched, continuous musical sound
5 of 24
Which explanation best describes Crackles?
Fine, short, high pitched, intermittent sounds
6 of 24
Which explanation best describes Pleural rub?
Rasping, grating sound, sounding superficial
7 of 24
What Dx is likely? "Patient presents with fever, wheeze, cough and sputum"
Acute bronchitis
8 of 24
What Dx is likely? "Sudden but severe dyspnoea, with normal breath sounds"
PE
9 of 24
What Dx is likely? "Patient with progressive dyspnoea, tachypnoea, inspiratory fine crackles and cyanosis"
Pulmonary fibrosis
10 of 24
What Dx is likely? "Episodes of pleural pain, haemoptysis, a pleural rub, swollen leg if DVT, or crackles if infarct"
PE
11 of 24
What Dx is likely? "Progressive dyspnoea, unilateral basal dullness and reduced breath sounds"
Pleural effusion
12 of 24
What Dx is likely? "Patient presents with insidious onset, weight loss, persisting pain or cough, cervical lymphadenopathy, clubbing, signs of lobar or lung collapse, with or without effusion"
Malignancy
13 of 24
What Dx is likely? "Expiratory wheeze, hay fever, atrophy, pet owner and disturbance of sleep"
Asthma
14 of 24
What Dx is likely? "History suggests acute on chronic dyspnoea, with hyperinflation on examination"
COPD
15 of 24
What would be the most suitable investigation for suspected COPD?
CXR, Respiratory function, O2 saturation or ABG, sputum and blood culture, WCC, CRP
16 of 24
What would be the most suitable investigation for suspected Acute bronchitis?
CXR, Respiratory function, O2 saturation or ABG, sputum and blood culture, WCC, CRP
17 of 24
What would be the most suitable investigation for suspected Pneumonia?
CXR, Respiratory function, O2 saturation or ABG, sputum and blood culture, WCC, CRP
18 of 24
What would be the most suitable investigation for suspected Malignancy?
CXR, CT scan thorax + abdomen, Bronchoscopy (if central), CT guided biopsy (if peripheral), Respiratory function
19 of 24
What would be the most suitable investigation for suspected Pulmonary fibrosis?
CXR, High resolution CT thorax, Respiratory function, Autoantibodies
20 of 24
What would be the most suitable investigation for suspected Asthma?
Pulmonary function tests (Peak flow diary, FEV1/reversibility), O2 saturation or ABG, IgE, Allergen skin test
21 of 24
What would be the most suitable investigation for suspected Pleural effusion?
CXR, Ultrasound guided aspiration
22 of 24
What would be the most suitable investigation for suspected PE?
d-Dimers, CT pulmonary angiogram, Echocardiogram, O2 saturation or ABG
23 of 24
What would be the most suitable investigation for suspected Interstitial lung disease?
CXR, High resolution CT thorax, Respiratory function, Autoantibodies
24 of 24

Other cards in this set

Card 2

Front

What respiratory side effects can be caused oestrogens?

Back

Pulmonary thromboembolism

Card 3

Front

What respiratory side effects can be caused amiodarone?

Back

Preview of the front of card 3

Card 4

Front

Which explanation best describes stridor?

Back

Preview of the front of card 4

Card 5

Front

Which explanation best describes wheeze?

Back

Preview of the front of card 5
View more cards

Comments

No comments have yet been made

Similar Medicine resources:

See all Medicine resources »See all Medicine resources »