Pleurisy Investigations and Treatment

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30 Questions

Which physical examination finding is commonly observed in pleurisy?

Diminished breath sounds

What might be heard on auscultation in pleurisy if there is a concomitant illness like pneumonia?

Crackles

What is a common cause of pneumonia?

Bacterial infection

What is a characteristic feature of pneumonia on imaging studies?

Segmental or multilobar involvement

What is the most appropriate treatment approach for pleurisy?

Drainage to provide symptom relief

What can cause aspiration pneumonia?

Eating difficulties like dysphagia

What is the purpose of spirometry in medical respiratory investigations?

Looking for airway narrowing

Which test may show a reduction in the presence of new or worsening respiratory disease?

Forced expiratory volume test

What do arterial blood gases measure in relation to respiratory function?

Blood acidity and carbon dioxide levels

Which medical investigation is better for determining the size and location of a lesion in the respiratory system?

PA & lateral CXR

What do immunological, serological, and microbiological tests mainly look for in respiratory investigations?

Pathogens, antibodies, blood, or sputum

Which investigation is commonly performed on most patients with suspected respiratory disease to look for fluid accumulation or lobar collapse?

CT scan

What is a hallmark symptom of pneumoniae acute bronchitis?

Productive purulent cough with green/yellow sputum

What differentiates the viral cause of acute bronchitis from the bacterial cause?

Bacterial cause has a cough that persists for several weeks post-infection

What defines chronic bronchitis?

Persistent cough and sputum for 3 months or more

What is the most common cause of chronic bronchitis?

Smoking

What is the hallmark symptom of pleurisy?

Sharp stabbing pleuritic chest pain

What can be a possible cause of pleurisy?

Pulmonary embolism

What is a common hallmark symptom of asthma?

Airway hyperreactivity

What is the suggested management for mild asthma cases?

Home management with expected improvement within 2-3 days

What triggers excessive narrowing of airways in asthma?

Allergens and smoking

What is the usual onset period for asthma?

Childhood

What role do environmental factors play in the prevalence of asthma?

A significant role

What is a common observation in tuberculosis related to lung expansion?

Asymmetrical lung expansion

What distinguishes mild/intermittent asthma from persistent/refractory asthma?

Asymptomatic periods between attacks

Which pharmaceutical intervention is commonly used in tuberculosis treatment?

Pyrazinamide

What is a hallmark symptom of cystic fibrosis?

Chronic daily cough

How does mucosal overproduction in cystic fibrosis impact the body?

It impairs mucociliary escalator and increases infection risk

What can be a potential consequence of bronchiectasis in cystic fibrosis?

Destruction and dilation of bronchi with pouching

Which genetic disorder is characterized by excess mucosal production in the lungs, intestines, and pancreatic ducts?

Cystic fibrosis

Explore common medical investigations and treatments for pleurisy, including observations like asymmetrical chest expansion, diminished tactile fremitus on palpation, dullness in affected area on percussion, and diminished breath sounds or friction rubs on auscultation. Learn about additional sounds that may be present if there is a concomitant illness like pneumonia.

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