Jace Shared "Exam 4" - 50 Picmonics
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Exam 4
COPD Overview (Chronic Obstructive Pulmonary Disease Overview)
- Causes
- Inhaled Toxins
- Smoking
- AAT Deficiency
- Assessment
- Emphysema
- Chronic Bronchitis
- Asthma
- Considerations
- Spirometry
- Slow Progression
2 mins
Emphysema
- Clinical Features
- Pink Puffer
- Exhale through Pursed Lips
- Barrel Chest
- Pathophysiology
- Obstructive Lung Disease
- Increased Lung Compliance
- Types
- Centriacinar
- Panacinar
2 mins
Obstructive Lung Disease
- Blocked Airflow
- Increased residual volume
- V/Q Mismatch
- Decreased forced vital capacity (FVC)
- Decreased FEV1/FVC ratio
- Asthma
- Bronchiectasis
- Chronic bronchitis
- Emphysema
51 secs
Chronic Bronchitis
- Pathophysiology
- Chronic Inflammation of Bronchi
- Signs and Symptoms
- Early-Onset Cyanosis
- Blue Bloaters
- Productive Cough
- Wheezing
- Chronic Obstructive Pulmonary Disease (COPD)
- Late-Onset Dyspnea
- Crackles
- Diagnosis
- Reid Index > 50%
2 mins
Chronic Bronchitis Interventions
- Tripod Position
- Humidified Oxygen
- Pursed Lip Breathing
- Increase Fluid Intake
- ABGs
- Early Detection of Exacerbation
- Considerations
- Lowest O2 Therapy
- Assisted Ventilation
- Increased Infection Risk
2 mins
Bronchiectasis
- Obstructive Lung Disease
- Chronic Necrotizing Infection
- Permanent Airway Dilation
- Poor Ciliary Motility
- Kartagener's Syndrome
- Cystic Fibrosis
- Allergic Bronchopulmonary Aspergillosis
- Hemoptysis
- Increased Sputum
2 mins
Asthma
- Obstructive lung disease
- Bronchial Hyperresponsiveness
- History of Atopic Disease
- Beta2 agonists
- Corticosteroids
- Curschmann's spirals
- Hypertrophy of smooth muscle
- Reversible
- Charcot Leyden crystals
- Methacholine challenge
- Wheezing
- Cough
- Initially decreased PaCO2
- Pulsus paradoxus
2 mins
Stages of Asthma Treatments
- Mild Intermittent
- Short-acting Inhaled Beta-Agonist
- Mild Persistent
- Low-Dose Inhaled Corticosteroid
- Montelukast (Leukotriene Receptor Antagonist)
- Moderate Persistent
- Low to Medium-dose Inhaled Corticosteroid
- Zileuton
- Severe Persistent
- High-Dose Inhaled Corticosteroid
- Systemic Corticosteroids
- Omalizumab (Allergies)
2 mins
Superior Vena Cava Syndrome
- Characteristics
- Obstruction of Superior Vena Cava
- Tumor
- Thrombosis
- Clinical Features
- Upper Extremity and Facial Edema
- Venous Engorgement over Upper Extremity, Face, and Chest
- Increased Intracranial Pressure
- Management
- Treat Underlying Disorders
2 mins
Pancoast Tumor
- Characteristics
- Apical Lung Tumor
- Non-small Cell Lung Cancer
- Clinical Features
- Axillary or Shoulder Pain
- Hoarseness
- Horner Syndrome
- Superior Vena Cava Syndrome
- Sensorimotor Deficits
- Hemidiaphragm Paralysis
1 min
Mesothelioma
- Characteristics
- Malignant Pleural Tumor
- Asbestos Exposure
- Presentation
- Dyspnea
- Decreased Breath Sounds
- Constitutional B Symptoms
- Diagnosis
- Hemorrhagic Pleural Effusion
- Pleural Thickening
- Psammoma Bodies
- Calretinin
- Interventions
- Surgery
- Chemotherapy
2 mins
Bronchial Carcinoid Tumor
- Characteristics
- Excellent Prognosis
- Signs and Symptoms
- Symptoms of Bronchial Obstruction
- Often Asymptomatic
- Carcinoid Syndrome
- Diarrhea
- Wheezing
- Flushing
- Diagnosis
- 5-HIAA in Urine
- Nests of Neuroendocrine Cells
- Chromogranin A Positive
- Treatment
- Surgical Resection
- Octreotide for Symptomatic Relief
2 mins
Large Cell Carcinoma
- Characteristics
- Strong Correlation with Smoking
- Poor Prognosis
- Peripheral Lesions
- Symptoms
- Gynecomastia
- Galactorrhea
- Diagnosis
- Anaplastic Cells
- Pleomorphic Giant Cells
- May Produce Beta hCG
- Diagnosis of Exclusion
- Treatment
- Surgical Resection
- Less Responsive to Chemotherapy and Radiation
2 mins
Small Cell (Oat Cell) Carcinoma
- Characteristics
- Aggressively Malignant
- Strong Correlation with Smoking
- Central Location
- Amplification of Myc Oncogenes
- Signs and Symptoms
- Narrowing of Bronchial Airways
- Cushing's Syndrome
- Ectopic ACTH
- Syndrome Of Inappropriate Antidiuretic Hormone (SIADH)
- Lambert-Eaton Syndrome
- Diagnosis
- Kulchitsky Cells
- Neuron-Specific Enolase Positive
- Chromogranin A Positive
- Treatment
- Chemotherapy and Radiation
3 mins
Squamous Cell Carcinoma of the Lung
- Characteristics
- Strong Correlation with Smoking
- More Common in Men
- Central Location
- Cavitating Lesion Extending to Hilum
- PTHrP Causes Hypercalcemia
- Diagnosis
- Keratin Pearls
- Intercellular Bridges
- Treatment
- Surgical Resection (if Early Stage)
- Chemotherapy and Radiation (if Later Stage)
2 mins
Adenocarcinoma of the Lung
- Characteristics
- Most Common Lung Cancer
- Most Common in Nonsmokers
- Peripheral Location
- KRAS, EGFR, and ALK Mutations
- Diagnosis
- Glandular Pattern
- Often Stains with Mucin
- Clinical Features
- Presents with Hemoptysis
- Clubbing
- Treatment
- Surgical Resection
- Chemotherapy and Radiation
2 mins
Sarcoidosis Symptoms
- Black Females
- Symptoms
- Asymptomatic
- Uveitis
- Interstitial Fibrosis
- Erythema Nodosum
- Hepatomegaly
- Myocardial Sarcoidosis
- Lupus Pernio
1 min
Sarcoidosis Characteristics and Labs
- Mechanism
- Unknown Mechanism
- Immune-Mediated
- Noncaseating Granulomas
- Vitamin D Activation
- Labs
- Hypercalcemia
- Elevated ACE
- Asteroid and Schaumann Bodies
- Bronchoalveolar Lavage shows Increased CD4:CD8 Ratio
- X-ray Shows Bilateral Hilar Lymphadenopathy
- Treatment
- Corticosteroids
2 mins
Pneumonia Assessment
- Risk Factors
- Older Adult
- Immunocompromised
- Long Term Care
- Assessment
- Shortness of Breath (SOB)
- Hypoxemia
- Cough and Sputum Production
- Wheezing or Crackles
- Fever
- Pleuritic Pain
- Diagnosis
- Chest X-ray
2 mins
Pneumonia Intervention
- Interventions
- Humidified Oxygen
- Deep Breathing Exercises
- Position of Comfort
- Increase Fluid Intake
- Manage Fever
- Medications
- Antibiotics
- Mucolytics
- Expectorants
- Considerations
- Pneumococcal Vaccine
- Sepsis
- Acute Respiratory Failure (ARF)
- Prevention Education
2 mins
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