Qtr 5 PE Larose

Paroxysmal attacks of wheezing and SOB

Cheyne-Strokes respiration: periodical irregular breathing

Boit's respiration: irregular irregular or ataxic respirations

Kussmal's breathing: fast deep hyperventilation

Rust colored sputum

red currant jelly sputum

continuous high pitched musical sounds caused by narrowing of the lumen of smaller respiratory passageways (bronchioles)

Low pitched musical notes that are present when fluid is in large airways (bronchi)

intermittent non-musical sounds produced by air passing over retained airway secretion mainly on inspiration

2 consecutive years of a cough lasting at least three months
Crackles all over lungs
Bilateral pitting ankle edema

Increasing SOB
Decreased Tactile fremitus
Stoney Dull percussion 
decreased breath sounds at base

Fever, Chills, Pleuritic chest pain
Increased tactile fremitus 
Localized bronchial breathing

Unilateral (lobar pneumonia)

Bilateral (bronchopneumonia)

Virchow's Triad

Sudden pleuritic chest pain
SOB
Hemoptysis 
Sweating
Deep vein thrombosis

Non-caseous granulomas (lymph and lung)
Fibrous lung
SOB
Erythema nodosum

Apical consolidation and cavitations
Hilar Lymph
Ghon focus
Fever night sweats
Cough>6wks
bronchial breathing
crackles apex
erythema nodosum

Dyspnea on exertion
Orthopnea
Paroxysmal Nocturnal Dyspnea

Bilateral pitting edema
PND
Basal Crackles
Hepatojugular reflex

Post Streptococcus pyogenes infection (Rheumatic Fever)
Aschoff nodules
Antischkow giant cells
MacCullum's patches

XRay Findings: Thin mediastinum, Flattened Diaphragm, Enlarged Retrosternal window (lat film)

XRAY FINDINGS
Absent lung markings on left
Central Trachea

Bilateral Hilar Lymphadenopathy

Calcified hilar lymph node (eggshell or bull's eye calcification)

Obliteration of costophrenic angle 
Clinical picture: smoker, absent: bilateral pedal edema, orthopnea, fever, night sweats

Apical consolidations and cavitation
Tracheal deviation 
Clinical pic: hemoptysis, night sweats, SOB

Cardiomegaly, prominent pulmonary vessels, Kerley B lines
Clinical pic: 67 yr old, hypertensive, SOB, DOE (dyspnea on exertion), PND, bilateral ankle edema

Double stranded enveloped icosahedral DNA virus-HHV3 and HHV8

1. Gram negative Lactose-fermenting non-motile enteric bacillus
2. Gram negative non-enteric Pleomorphic coccobacillus
3. Gram negative, enteric, urea-splitting bacillus with flagella

1. Gram pos catalase neg a-hemolytic cocci in strips
2. Gram pos lancefiled group A B-hemolytic cocci in strips
3. Gram pos catalase pos, coagulase positive coccus

1. obligate intracellular parasite
2. Round worm with two rows of hooks 
3. Fungal eukaryotic organism

Clinical picture: paroxysmal attacks of wheezing and SOB

Chronic productive cough with swollen legs and SOB

Orthopnea, paroxysmal nocturnal dyspnea, ankle swelling

Pursed lip breathing, barrel chest and SOB

Stony dull percussion note in one lung base and SOB

Fever, pleuritic chest pain, cough, SOB

Hyper-resonant percussion note over one lung and sudden SOB

Pleuritic chest pain, hemoptysis and SOB

Progressive dyspnea, red swollen bumps on legs

Night Sweats, fever, hemoptysis, chronic cough, SOB