CDM Midterm
patients with cancer are more predisposed to what? - ANS -PE
premedicate patients with what before doing a radiology exam? - ANS -asthma
iodine or shellfish allergy
which diseases are more prone to miscarriages? - ANS -coagulopathic diseases:
- hyper coaguable states
- DVT
- PE
acute cough lasts how many weeks - ANS -< 3 wks self limiting
chronic cough lasts how many weeks - ANS -> 3 weeks
differentials for chronic cough - ANS -post nasal drip
COPD
asthma
GERD
wheezing differentials (2) - ANS -asthma
CHF
dry cough differentials (3) - ANS -GERD
medications
pulmonary fibrosis
inflammation of the epiglottic and adjacent supraglottic structures leading to life threatening
airway obstruction - ANS -epiglottitis
abrubt fever
dysphagia and drooling
respiratory distress
muffled speech
sitting, leaning forward with neck extended
toxic appearing child - ANS -epiglottitis
epiglottitis physical exam - ANS -lateral neck film (thumg sign)
enlarged epiglottitis protruding from anterior wll of hypopharynx
, inappropriate movement of the vocal cords causing functional airway obstruction with
inspiratory/expiratory stridor - ANS -paradoxical vocal cord movement (often misdoagnosed
with asthma)
________ of the true vocal cords occurs on inspiration, expiration or both - ANS -adduction
usually asymptomatic
cough
wheeze
dyspnea
stridor
hoarseness
throat tightness and reflux
frequent episodic attack of symptoms leading to SOB - ANS -paradoxical vocal cord
movements
adduction of the vocal cords and narrowing of the rima glottitis during inspiration - ANS
-paradoxical vocal cord movement
paradoxical vocal cord movement dx - ANS -- *laryngoscopy - vocal cord adduction during
inspiration, expiration or both*
- PFT: normal TLC
- CXR: no evidence of hyperinflation (asthma)
drugs associated with angioedema - ANS -ACEi
NSAIDS
radiocontrast
opiates
aspirin
PCN
can also be caused by insects, food, and animal protein
type 1 hyper sensitivity reaction
hoarseness
noisy breathing
loss of vocal pitch
choking while swallowing
inability to speak loudly
loss of gag relflex
ineffective cough - ANS -vocal cord paralysis
vocal cord paralysis tests - ANS -EGD
laryngeal electromyography
LFT
patients with cancer are more predisposed to what? - ANS -PE
premedicate patients with what before doing a radiology exam? - ANS -asthma
iodine or shellfish allergy
which diseases are more prone to miscarriages? - ANS -coagulopathic diseases:
- hyper coaguable states
- DVT
- PE
acute cough lasts how many weeks - ANS -< 3 wks self limiting
chronic cough lasts how many weeks - ANS -> 3 weeks
differentials for chronic cough - ANS -post nasal drip
COPD
asthma
GERD
wheezing differentials (2) - ANS -asthma
CHF
dry cough differentials (3) - ANS -GERD
medications
pulmonary fibrosis
inflammation of the epiglottic and adjacent supraglottic structures leading to life threatening
airway obstruction - ANS -epiglottitis
abrubt fever
dysphagia and drooling
respiratory distress
muffled speech
sitting, leaning forward with neck extended
toxic appearing child - ANS -epiglottitis
epiglottitis physical exam - ANS -lateral neck film (thumg sign)
enlarged epiglottitis protruding from anterior wll of hypopharynx
, inappropriate movement of the vocal cords causing functional airway obstruction with
inspiratory/expiratory stridor - ANS -paradoxical vocal cord movement (often misdoagnosed
with asthma)
________ of the true vocal cords occurs on inspiration, expiration or both - ANS -adduction
usually asymptomatic
cough
wheeze
dyspnea
stridor
hoarseness
throat tightness and reflux
frequent episodic attack of symptoms leading to SOB - ANS -paradoxical vocal cord
movements
adduction of the vocal cords and narrowing of the rima glottitis during inspiration - ANS
-paradoxical vocal cord movement
paradoxical vocal cord movement dx - ANS -- *laryngoscopy - vocal cord adduction during
inspiration, expiration or both*
- PFT: normal TLC
- CXR: no evidence of hyperinflation (asthma)
drugs associated with angioedema - ANS -ACEi
NSAIDS
radiocontrast
opiates
aspirin
PCN
can also be caused by insects, food, and animal protein
type 1 hyper sensitivity reaction
hoarseness
noisy breathing
loss of vocal pitch
choking while swallowing
inability to speak loudly
loss of gag relflex
ineffective cough - ANS -vocal cord paralysis
vocal cord paralysis tests - ANS -EGD
laryngeal electromyography
LFT
