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Line 49: − − =Missed Concepts= − *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)
→Missed Concepts
=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]]==
==[[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=
==[[Pulmonary Embolism]]==
==[[Pulmonary Embolism]]==
*H&P: Acute onset dyspnea, hypoxia, tachycardia, chest pain.
*H&P: Acute onset dyspnea, hypoxia, tachycardia, chest pain.
*Dx: PERC criteria. Wells PE criteria. Sinus tach most common finding. Hypoxia. Pulmonary hypertension. CTA PE protocol is diagnostic. D-dimer can rule out if negative and pre-test probability is low.
*Dx: PERC criteria. Wells PE criteria. Sinus tach most common finding. Hypoxia. Pulmonary hypertension. CTA PE protocol is diagnostic. D-dimer can rule out if negative and pre-test probability is low. Initially shows respiratory alkalosis.
*Tx:
*Tx:
==[[Obstructive Sleep Apnea]]==
==[[Obstructive Sleep Apnea]]==
==[[Obesity Hypoventilation Syndrome]]==
==[[Obesity Hypoventilation Syndrome]]==