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Respiratory
UNECOM
31
Medical
Graduate
11/19/2009

Additional Medical Flashcards

 


 

Cards

Term
_______________ is a fibronodular lung disease caused by inhalation of dust containing crystalline silica, which is distributed widely
Definition
silicosis
Term
signs and symptoms of silicosis may vary with the severity of the disease, and may include: __________, __________, _________ and __________.
Definition
tachypnea, rhonchi, rales, and cyanosis
Term
preferred tool in the diagnosis of silicosis?
Definition
CT
Term
___________ is a pneumoconiosis caused by inhalation of asbestos fibers, classically causing a chronic, diffuse, interstitial fibrosis of the lung
Definition
asbestosis
Term
clinical signs of this disease may include: end-expiratory rales, best heard at the lung bases; clubbing; reduced chest expansion consistent with a restrictive lung disease; cyanosis; jugular venous distension; and pedal edema
Definition
asbestosis
Term
basic and required imaging study in the diagnosis of asbestosis?
Definition
x-ray
Term
_________________________ is a chronic progressive interstitial lung disease of unknown etiology, characterized by inflammation and fibrosis of the lung parenchyma; clinical presentation is variable, with an insidious onset and progressive course
Definition
idiopathic pulmonary fibrosis (IPF)
Term
high-resolution chest CT scanning may reveal a characteristic reticular pattern as the most common finding in _______________; Pulmonary function testing may reveal reduced FVC and FEV1.0, but the ratio of FEV1.0/FVC is usually normal or increased
Definition
diffuse parenchymal lung disease
Term
during an episode of acute _________, the cells of the bronchial lining tissue are irritated and the mucous membrane is hyperemic and edematous, diminishing bronchial mucociliary function; consequently, the air passages become clogged by debris and irritation increases; in response, copious secretion of mucus develops, which causes the characteristic cough of _________; common causes include viruses (up to 95% of cases) and bacteria (often causing acute ________ as an exacerbation of COPD); contributing factors that predispose a patient to developing acute ________ include: COPD; bronchiectasis; cystic fibrosis; CHF; and cigarette smoking
Definition
bronchitis
Term
the most common etiologic agent causing viral pneumonia in the US adult population
Definition
influenza
Term
___________ is an acute febrile illness caused by infection with a single stranded RNA orthomyxovirus
Definition
influenza
Term
________________ is defined as the abnormal and permanent dilatation of one or more bronchi, most often secondary to an infectious process, that may be either focal, involving airways supplying a limited region of pulmonary parenchyma, or diffuse, involving airways in a more widespread distribution, and constituting a form of obstructive lung disease; ______________ can be categorized as a chronic obstructive pulmonary lung disease manifested by airways that are inflamed and easily collapsible, resulting in air flow obstruction and impaired clearance of secretions
Definition
bronchioectasis
Term
A _____________ effusion has low protein content and is usually due to heart failure, uremia, or hypoalbuminemia; an ___________ effusion is due most often to inflammation, malignancy, or infection and has high protein and cell count
Definition
transudative; exudative
Term
atelectasis
Definition
incomplete expansion of the lung; obstructive atelectasis is the most common type, and results from tumor, foreign body, and mucus plugging
Term
5 year survival rate of lung cancer patients
Definition
14%
Term
adenocarcinomas
Definition
non small cell lung cancer; comprise about 35% of lung cancers; frequently located in the periphery
Term
small cell carcinomas
Definition
a.k.a. oat cell carcinomas; worse prognosis than non small cell carcinomas; comprise 20% of lung cancers; tend to metastasize through the lymphatics
Term
squamous cell carninomas
Definition
comprise 20-30% of lung cancers; centrally located
Term
large cell carcinomas
Definition
peripherally located; comprise 15-20% of lung cancers; metastasize early to mediastinum and brain
Term
bronchoalveolar carcinomas
Definition
comprise 5% of lung cancers; the only carcinoma not associated with cigarette smoking
Term
_________________ is a symptom complex characterized by paroxysmal vasomotor disturbances, diarrhea, bronchospasm, and cutaneous flushing, caused by the action of amines and peptides (serotonin, bradykinin, histamine) produced by tumors arising from neuroendocrine cells; tumors are found 3.5% of the time in the bronchus
Definition
carcinoid syndrome
Term
the most common symptom of pulmonary tuberculosis
Definition
low grade fever; dyspnea unusual unless TB is significantly progressed
Term
common signs of _______________ include: loud pulmonic component of S2; pulmonic ejection murmur; prominent jugular pulsations or jugular venous distension; and signs of right ventricular failure such as hepatic enlargement, ascities, and peripheral edema
Definition
pulmonary hypertension
Term
_________________ are thin walled cystic structures formed by abnormal detachment of a fragment of primitive foregut. The result is an outbranching of the bronchial tree lined with bronchial epithelium and filled with mucus
Definition
bronchogenic cysts
Term
_____________ is a disease of exocrine gland function, involving multiple organ systems and chiefly resulting in chronic respiratory infections, pancreatic enzyme insufficiency, and associated complications in untreated patients; pulmonary involvement occurs in 90% of patients surviving the neonatal period; endstage lung disease is the principal cause of death
Definition
cystic fibrosis
Term
______ is an acute condition characterized by bilateral pulmonary infiltrates and severe hypoxemia in the absence of evidence for cardiogenic pulmonary edema; lung injury in is characterized by increased permeability of the alveolar-capillary membrane, diffuse alveolar damage, and the accumulation of proteinaceous pulmonary edema
Definition
ARDS (acute respiratory distress syndrome)
Term
common causes of ARDS
Definition
sepsis (the most common cause); aspiration; shock; pneumonia; smoke inhalation during a fire; disseminated intravascular coagulation (DIC); near drowning; severe non thoracic trauma; extensive burns; amniotic fluid embolus; eclampsia; and prolonged coronary bypass
Term
definition of ARDS
Definition
ARDS is defined as the presence of bilateral pulmonary infiltrates on chest radiograph, impaired oxygenation, and absence of elevated pulmonary arterial occlusion pressure (PAOP) or left atrial pressure; stated another way, ARDS is the presence of pulmonary edema in the absence of volume overload or depressed left ventricular function
Term
_____ results from delayed absorption of fetal lung fluid following delivery
Definition
TTN (transient tachypnea of the newborn)
Term
____ commonly is observed following birth by cesarean delivery because infants do not receive the thoracic compression that accompanies vaginal delivery
Definition
TNN (transient tachypnea of the newborn)
Term
________________ is a rare vasculitis characterised by the triad of: glomerulonephritis, pulmonary hemorrhage, and autoantibodies to the glomerular basement membrane; occurs most frequently in young men and may cause renal failure, hemoptysis with pulmonary infiltrates and dyspnea
Definition
Goodpasture's syndrome
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