4 signs of severe asthma
Can’t complete sentence
RR more than 5
HR more than 10
PEFR less than 50% pred
7 signs life threatening asthma
33-92-CHEST
PEFR less than 33% pred Less than 92% sats Cyanosis Hypotension Exhaustion Silent chest Tachycardia (or brachy)
Effusion vs pneumothorax vs collapse
Effusion - trachea usually central (unless massive, then away)
Pneumothorax - ditto
Tension pneumo - pushes away
Collapse - pulls towards
Causes of loss of lung volume
trachea deviates towards that side pneumonecty TB or old TB tx unilateral fibrosis collapse
Respiratory causes of clubbing
IPF
bronchiectasis
asbestosis
Complications of pneumonia
Sepsis
Lung Abcess
Pleural effusion
Empyema
Acute exacerbation of COPD Tx
O2 ventilation salbutamol and ipatropium nebs steroids IV aminophyline if not improving
Abestos Complications
Pleural plaques/thickening
Asbestosis
Carcinoma of bronchus
Mesothelioma