Podcast
Questions and Answers
What is the defining symptom of an individual with asthma, objectively presented during a physical assessment?
What is the defining symptom of an individual with asthma, objectively presented during a physical assessment?
- Coughing
- Wheezing (correct)
- Chest pain
- Anxiety
Which of the following is a differential diagnosis for asthma, based on the information provided?
Which of the following is a differential diagnosis for asthma, based on the information provided?
- Diabetes
- Inflammatory bowel disease
- Croup (correct)
- Migraines
Which of these symptoms are you most likely to see in a patient experiencing a severe asthma attack?
Which of these symptoms are you most likely to see in a patient experiencing a severe asthma attack?
- Normal heart rate
- Slow, deep breaths
- Mild coughing
- Breathlessness (correct)
What is the first line recommended treatment approach for an individual with asthma?
What is the first line recommended treatment approach for an individual with asthma?
When should an individual with asthma be referred to pulmonology?
When should an individual with asthma be referred to pulmonology?
Which of the following are NOT signs of distress in a patient with pneumonia?
Which of the following are NOT signs of distress in a patient with pneumonia?
What is the recommended treatment for pneumonia in a patient with a penicillin allergy?
What is the recommended treatment for pneumonia in a patient with a penicillin allergy?
Which of the following is a possible symptom of pneumonia, as indicated in the text?
Which of the following is a possible symptom of pneumonia, as indicated in the text?
Which of the following conditions may be a concern in a patient with pneumonia, as indicated in the text?
Which of the following conditions may be a concern in a patient with pneumonia, as indicated in the text?
What is the recommended dual therapy for pregnant patients with a penicillin allergy?
What is the recommended dual therapy for pregnant patients with a penicillin allergy?
Which symptom is most characteristic of atypical pneumonia?
Which symptom is most characteristic of atypical pneumonia?
In a patient experiencing acute bronchitis, which of the following would most likely be present?
In a patient experiencing acute bronchitis, which of the following would most likely be present?
What indicates a potential COPD exacerbation?
What indicates a potential COPD exacerbation?
Which of the following symptoms is not typically associated with heart failure?
Which of the following symptoms is not typically associated with heart failure?
What is a common characteristic of a cough associated with bronchitis?
What is a common characteristic of a cough associated with bronchitis?
What symptom differentiates influenza from a simple URI (common cold)?
What symptom differentiates influenza from a simple URI (common cold)?
In the context of COVID-19, what is a suggested management strategy?
In the context of COVID-19, what is a suggested management strategy?
What is a common sign of reflux esophagitis alongside a persistent cough?
What is a common sign of reflux esophagitis alongside a persistent cough?
What is essential in the management of COPD?
What is essential in the management of COPD?
For which of the following conditions is it recommended not to use antibiotics?
For which of the following conditions is it recommended not to use antibiotics?
What common symptom can occur with both COVID-19 and influenza?
What common symptom can occur with both COVID-19 and influenza?
What is a common duration for a cough to last in cases of simple URI?
What is a common duration for a cough to last in cases of simple URI?
What is a classic viral presentation of CAP+Viral?
What is a classic viral presentation of CAP+Viral?
Which of the following is a common sign when assessing lung sounds?
Which of the following is a common sign when assessing lung sounds?
What is the primary treatment for latent tuberculosis (TB)?
What is the primary treatment for latent tuberculosis (TB)?
Which symptom is commonly associated with active tuberculosis (TB)?
Which symptom is commonly associated with active tuberculosis (TB)?
What is an important aspect of treating active tuberculosis?
What is an important aspect of treating active tuberculosis?
Which condition is likely indicated by rales in the upper posterior portion of the chest?
Which condition is likely indicated by rales in the upper posterior portion of the chest?
Which treatment is specifically recommended for influenza infections?
Which treatment is specifically recommended for influenza infections?
Which of the following is NOT a symptom of active tuberculosis?
Which of the following is NOT a symptom of active tuberculosis?
What is the main goal of patient education for those undergoing TB treatment?
What is the main goal of patient education for those undergoing TB treatment?
What type of sounds might you hear during expiration in a patient with bronchitis?
What type of sounds might you hear during expiration in a patient with bronchitis?
Flashcards
Asthma
Asthma
A breathing disorder characterized by inflammation and narrowing of the airways, causing recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing.
Wheezing
Wheezing
A telltale sign of asthma, characterized by a high-pitched whistling sound during breathing, especially when exhaling.
Rapid breathing
Rapid breathing
Rapid breathing, often exceeding 30 breaths per minute, particularly in severe asthma cases.
Tachycardia
Tachycardia
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Stepwise approach
Stepwise approach
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Bacterial Pneumonia
Bacterial Pneumonia
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Crackles
Crackles
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Rhonchi
Rhonchi
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Pleuritic Chest Pain
Pleuritic Chest Pain
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Acute Bronchitis
Acute Bronchitis
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Bronchiolitis
Bronchiolitis
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Influenza
Influenza
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COVID-19
COVID-19
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Reflux Esophagitis
Reflux Esophagitis
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COPD
COPD
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Simple URI
Simple URI
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Pneumonia
Pneumonia
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Atypical Pneumonia (Mycoplasma)
Atypical Pneumonia (Mycoplasma)
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Persistent Dry Cough
Persistent Dry Cough
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Penicillin (PCN)
Penicillin (PCN)
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Viral Bronchitis
Viral Bronchitis
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Tuberculosis (TB)
Tuberculosis (TB)
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Latent TB
Latent TB
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Active TB
Active TB
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Rales
Rales
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Supportive Care for Viral Bronchitis
Supportive Care for Viral Bronchitis
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Treatment for Latent TB
Treatment for Latent TB
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Treatment for Active TB
Treatment for Active TB
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Patient Education in TB Treatment
Patient Education in TB Treatment
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Study Notes
Respiratory Study
- Diagnosis: Asthma, Acute Bronchitis, Community-Acquired Pneumonia (CAP), Tuberculosis (TB)
- Location: Respiratory
- Subjective Data (Asthma): Coughing fits (especially at night/morning), wheezing (whistling), shortness of breath, chest tightness/pressure, sputum production, anxiety.
- Subjective Data (Acute Bronchitis): Persistent, nagging cough (productive or not), substernal pain when breathing deeply, runny nose, sore throat, prolonged cough, fever, wheezing (usually on exhalation), rapid breathing (>30/min), tachycardia (>120/min), breathlessness, tripod position, diaphoresis, anxiety, visible distress, afebrile or low-grade fever.
- Subjective Data (CAP): Acute onset (sudden), high fever (measurable and distinct), productive cough (copious yellow/green/brown sputum), pleuritic chest pain (painful breathing, especially deep inhalation), shortness of breath.
- Subjective Data (TB): Gradual onset, persistent dry cough, low-grade fever, malaise, fatigue.
- Subjective Data (Latent TB): No symptoms.
- Subjective Data (Active TB): Chronic cough lasting >3 weeks, chest pain, hemoptysis (coughing up blood), fatigue, weight loss, night sweats.
- Objective Data: Vital signs, lung sounds (crackles, rhonchi, wheezing, egophony, bronchophony, tactile fremitus), abnormalities in physical exam (flushed, watery eyes, inflamed nasal passages, swollen cervical lymph nodes, etc.).
- Differential Diagnoses: Croup, vocal cord dysfunction, pneumonia, COPD, cardiac problems, GERD, simple URI, acute asthma, bronchiolitis.
- Essential Plan Parts (Asthma and Acute Bronchitis): Stepwise approach, patient education, referral to pulmonologist (if no improvement), primary care handoff, rest, increased fluids, humidifiers/warm showers.
- Essential Plan Parts (CAP): Amoxicillin for healthy patients; augmentin for lack of 48-hour improvement, doxycycline for penicillin allergy (non-pregnant).
- Essential Plan Parts (TB): Rifampin or isoniazid based therapy (short course for latent TB), Rifampicin, Isoniazid, Pyrazinamide and Ethambutol (Long-term for active TB).
- Key Considerations: Patient history (smoking, allergies, underlying conditions), duration and severity of symptoms , immunocompromised status, pregnancy status, medications, possible comorbiditis.
Additional Points
- Symptoms can last up to 3 weeks.
- Antibiotics aren't always necessary.
- Patience is crucial. Encourage smoking cessation.
- Educate on supportive care (rest, fluids, OTC meds).
- Proper management and adhering to treatment plans are critical for success.
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