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Disease JUST the basics + standard diagnostics

Asthma PFT  12% increase and/or 200mL in FEV1 & FVC


Night-time symptoms
Most common childhood disease
Silent chest + can’t talk = HELP!!!
COPD *chronic productive cough for 3 months in 2 consecutive years = chronic bronchitis
*HYPERINFLATED LUNGS, flattened diaphragm, pursed lip breathing = emphysema
- DOE
- SMOKER >45 y.o.
- Vaccinate! (flu & pneumococcal)
Bronchiectasis Pleuritic Chest Pain
Weight Loss
Digital clubbing
Excessive purulent sputum (infection)
Tram tracking in (X-ray)
Bronchiole wall thickening (CT)
Sleep Apnea - Snoring
- HTN
- Obesity
- Bullneck - >16F & >17M
- MEN
Screen = elbow test, STOP-BANG (snore, tired, observed apneic, pressure HTN, BMI, age, neck size, gender), Epworth
Adults = increased risk: mortality, CAD, arrhythmias, stroke, car accident
Diagnosis = Polysomnography 5x/hour w/ Sx. OR 15x/hour w/o Sx. *Kids = kissing tonsils
RESTRICTIVE Lung Diseases 1. DRY non-productive cough
2. Inspiratory Crackles
3. Progressive Dyspnea
IDIOpathic Pulmonary - Honeycombing (CT)
Fibrosis - Ground glass (CT)
- Reticular opacities (CT)
Sarcoidosis African American (Female) *30’s*
Skin lesions
Adenopathy
BIOPSY = non-caseating granulomas
Pneumoconiosis Asbestosis  (LOWER LUNG opacities (calcifications in pleural space)) SHIPBUILDING, mining, plumbing, roof construction
Silicosis  (UPPER lung) & FOUNDRY & Sandblasting
Hypersensitivity pneumonitis Know causes: humidifiers & farmers
Remove the problem = treatment
Disease JUST the basics + standard diagnostics

Cystic Fibrosis OVERLY THICK Meconium ileus stool, Maleinfertility

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