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| + | =Missed Concepts= |
| + | *'''Bronchiectasis''' presents as frequent infections, cough with copious purulent sputum, and hemoptysis ('''most common cause overall'''). |
| + | *Get a speech and swallow eval in patients with evidence of aspiration pneumonia (sour taste in mouth, pulmonary consolidation surrounding an abscess with an air-fluid level). |
| + | *Chest PT and suctioning are used for post-op atelectasis. In patients with wheezing in the early post-operative period, think bronchospasm and consider scheduled nebulized bronchodilators. |
| + | *Reintubate early in a patient who develops laryngeal edema with impending respiratory failure. |
| + | *Chronic cough differential includes: '''foreign body''' (especially in a child) |
| + | *Croup/Laryngotracheobronchitis (parainfluenza) is a '''clinical''' diagnosis. '''Xray might show a steeple sign, but is not required to make the diagnosis.''' |
| + | *Polymyositis can be complicated by '''ILD''' |
| + | |
| =Obstructive Lung Disease= | | =Obstructive Lung Disease= |
| ==[[Asthma]]== | | ==[[Asthma]]== |
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| ==[[Bronchiectasis]]== | | ==[[Bronchiectasis]]== |
| ==[[COPD]]== | | ==[[COPD]]== |
| + | *COPD exacerbations with 2 of the following merit antibiotics: '''increased sputum purulence, increased sputum volume, increased dyspnea.''' |
| | | |
| =Restrictive Lung Disease= | | =Restrictive Lung Disease= |
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| ==[[Obstructive Sleep Apnea]]== | | ==[[Obstructive Sleep Apnea]]== |
| ==[[Obesity Hypoventilation Syndrome]]== | | ==[[Obesity Hypoventilation Syndrome]]== |
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− | =Missed Concepts=
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− | *Get a speech and swallow eval in patients with evidence of aspiration pneumonia (sour taste in mouth, pulmonary consolidation surrounding an abscess with an air-fluid level).
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− | *Chest PT and suctioning are used for post-op atelectasis. In patients with wheezing in the early post-operative period, think bronchospasm and consider scheduled nebulized bronchodilators.
| |
− | *Reintubate early in a patient who develops laryngeal edema with impending respiratory failure.
| |
− | *Chronic cough differential includes: '''foreign body''' (especially in a child)
| |
− | *Croup/Laryngotracheobronchitis (parainfluenza) is a '''clinical''' diagnosis. '''Xray might show a steeple sign, but is not required to make the diagnosis.'''
| |