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HY PULM

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eesohbel's version from 2016-07-16 20:00

asthma/COPD

Question Answer
intermittent asthmaday time symptoms less than 2 X a week and night time less than @X a motn
treatment intermittent asthmabeta agonists
mild persistent asthmaday time symptoms greater than 2X a week and night $X month
treatment mild persistent asthmashort acing beta agonist plus low dose corticosteroid inhaled
moderate persistent asthmadaily symptoms, weekly night time
treatment moderate persistent asthmabeta agonist, low dose corticosteroid, and long acting beta agonist
severe persistent asthmadaily symptoms, frequenty night time wakenings
treatment severe persistent asthmashort acting beta, high dose inhaled steroid, long acting beta can add oral steroid
mainstay of treatment for COPDbeta agonist plus anti-cholinergic (muscarinic) (like ipratropium(
if mainstay not enough addlong acting anticholinergic (tiotropium)
if not enough long acting antichol not enoughadd inhaled steroids
memorize

lung sounds

Question Answer
dull to percussionconsolidation and pleural effusion
hyperesonant to percussionCOPD and pneumo
increased tactile fremitusconsolidations
memorize

Wells Score

Question Answer
greater than what high probability PE4
3 pointsclinical signs of DVT or most likely PE
1 pointprevious, HR greater than 100, recent surgery, hemoptysis, cancer
memorize

lung sounds