him Flashcards

consolidation of the lung with rusty brown sputum for about 10 days, fever, dull percussion, rales, increased tactile fremitus, silhouette sign, air bronchogram

Klebsiella pneumoniae causing currant red jelly sputum in elderly or immunocompromised patients

fungal or yeast lung infection most common in AIDS

CMV infection common in AIDS

Mycobacterium tuberculosis causing low grade fever, night sweats, yellow green cough, Ghon lesions, positive Mantoux or Tine or PPD, confirmed by sputum culture

pleural inflammation with stabbing chest pain worse with breathing, dry cough, decreased excursion, decreased fremitus, dull percussion, friction rub, positive Schepelmann’s

ruptured lung trapping air in pleural space with decreased expansion, decreased fremitus, hyperresonance, decreased breath sounds

lung collapse from mucus plug causing decreased fremitus, dull percussion, decreased expansion, absent breath sounds

irreversible bronchial dilation with chronic productive cough

long term productive cough, shortness of breath, wheezing, smoking or irritant exposure

type I hypersensitivity bronchospasm with tachycardia, tachypnea, decreased fremitus, wheezing, increased eosinophils, increased IgE, Curschmann’s spirals, Charcot Leyden crystals

destruction of elastic lung tissue causing permanent alveolar dilation, alpha 1 antitrypsin deficiency, decreased fremitus, hyperresonance, decreased breath sounds, wheezing

malignant lung tumor from bronchus, 20 to 30 year smoking history, non productive cough over 30 days, afebrile, dyspnea, weight loss

inflammation of costosternal cartilage, worse with exercise and deep breathing, tenderness at 3rd to 5th costosternal joints, similar to Tietze syndrome

shingles with painful dermatomal rash, dorsal root ganglion involvement, cranial nerve involvement most common at CN V

granuloma nodules in lungs or lymph nodes, most common in African descent in the US

lymphatic cancer in young Caucasian males with fever, night sweats, weight loss, pruritus, splenomegaly, diagnosed by biopsy

genetic mucus gland disease causing COPD barrel chest, thick mucus, excessive salt loss sweat test, pancreatic insufficiency, meconium ileus

stenosis is low pitched heard with bell, regurgitation is high pitched heard with diaphragm, ARMS and PRTS are diastolic murmurs

failure of closure between aorta and left pulmonary artery causing continuous machinery murmur

overriding aorta, right ventricular hypertrophy, VSD, pulmonic stenosis causing loud systolic ejection murmur and cyanosis

descending aorta constriction causing upper extremity blood pressure 20 mmHg higher than lower extremity

proximal subclavian stenosis causing syncope or drop attacks in young females during arm exercise

most commonly hypertension, second aortic stenosis, pulmonary edema, exertional dyspnea, orthopnea, fluid at costophrenic angles

most commonly caused by left sided failure, mitral stenosis from rheumatic fever, cor pulmonale from lung disease, JVD, edema, hepatosplenomegaly, ascites, caput medusae, stasis dermatitis, S3 gallop, decreased blood pressure

measure right heart pressure, exaggerated by hepatojugular reflex

bounding pulse from increased cardiac output

weak thready pulse from decreased stroke volume

alternating amplitude from left ventricular failure

two systolic peaks from aortic regurgitation or aortic stenosis

greater than 10 mmHg drop with inspiration seen in COPD asthma emphysema pericardial effusion

rapidly rising and collapsing pulse from aortic insufficiency

vibrations from turbulent blood flow murmurs

closure of AV valves

closure of semilunar valves

ventricular gallop normal in youth but sign of CHF over age 40

atrial gallop from ventricular stiffness

right sternal border 2nd intercostal space leaning forward

left sternal border 2nd intercostal space

left sternal border 3rd intercostal space

left sternal border 4th to 5th intercostal space

mid clavicular line 5th intercostal space left lateral decubitus position