Resp - handbook

Question 1

Resp history main Qs?

Answer 1

cough
chest pain
SOB: when?
wheezing/stridor
constitutional symptoms

Question 2

Resp risk factors?

Answer 2

smoking
CVD
prev. cancer
recent illness
recent travel
sick contacts
FHx atopy
occupational exposure
prev. CXRs or PFTs

Question 3

what are obstructive lung diseases

Answer 3

asthma
COPD
CF
bronchiolitis
bronchiectasis (can be mixed)

Question 4

what are restrictive lung diseases?

Answer 4

interstitial lung disease
neuromuscular disease
chest wall disease
pleural disease

Question 5

ddx for resp causes of dyspnea

Answer 5

• airways (wheeze)
• parenchymal disease (ARDS, pneumonia, ILD)
• pulmonary vascular (PE, HTN, Vasculitis)
• Pleural disease (peumothorax, effusion)

Question 6

ddx for neuromuscular causes of dyspnea?

Answer 6

polymyositis, 
myasthenia
GBS
C-spine injury
ALS
diaphragm

Question 7

cardiovascular ddx for causes of dyspnea?

Answer 7

elevated pulmonary pressures
LV-failure with pulmonary edema
mitral stenosis

Question 8

haem ddx for causes of dyspnea?

Answer 8

anaemia severe

Question 9

psychiatric causes of dyspnea

Answer 9

anxiety/psychosomatic