ICM: Test 2

Name 2 things that are dull.

What has ipsilateral shift of trachea.

What two things have contralateral shift of trachea?

Hyper-resonant or tympanic breath sounds.

Restriction:
Difficulty getting air in or out?

Obstructive:
Difficulty getting air in or out?

OR:
Fine inspiratory crackles
Minimal or no wheezing
Muscular atrophy

OR:
Pulsus paradoxus
Accessory Muscles

OR:
Increased thoracic volume

Normal FEV1/FVC ratio (although both are reduced)

Name Restrictive Diseases

Obstructive Diseases

ABG notation

A typical exam finding consistent with restrictive lung disease is

A 20 year old with severe scoliosis will typically have which finding on pulmonary function test?

Restrictive lung disease typically presents in 3 different ways- lung parenchymal/pleural abnormalities, thoracic cage/spine abnormalities, and

Both restrictive and obstructive lung diseases cause a sensation of dyspnea.  In a mild exacerbation of asthma, the obstruction is primarily a result of inflammation.  This inflammatory changes in the lung induce dypsnea by causing

Lateral film taken with

PA Film

Penetration:  You should be able to see the ____ through the heart and mediastinum

Things that ensure CXR is technically adequate.

When you lose the AP window between the aortic arch and PA it could be a sign of ____.

Chelazia (eye)

Left diaphragm has heart on top of it, not translucent like the right one.

Major fissure starts at T4

What part of lung sits next to the right atria?

What part of the lung sits next to the left ventricle?

2 same densities in direct contact

When part of the lung is consolidated, air may be seen inthe bronchi.  This is an?

Lobar or segmental density, no loss of lung volume

Adjacent lobes or the opposite lung is hyperinflated.

Chronic inflammatory disorder of the airways in which many cells and cellular elements play a role.

3 Main Characteristics of Asthma

ABG findings in asthma

Name 4 things found in sputum of asthma patients.

Clumps of airway epithelial cells

Protects from eosinophils in asthma

Small airways casts

Mainstay for asthma control?

Only asthma treatment medication with survival advantage, most effective medication for preventing exacerbation

Leukotriene modifiers (montelukast) are useful in

Prevents mast cell degranulation

Affects calcium uptake in smooth muscles, IV form used in ED for acute exacervations of asthma

Samter's Triad