Pulmonary Review

From Iusmicm

Contents 1 Introduction 2 Approach to Shortness of Breath 3 History and Physical Exam 4 Pulm Function Testing 5 Peds Pulmonary 6 Pneumonia 6.1 Definitions 6.2 Concepts 6.3 Details 7 Pulmonary Hypertension 8 Pulmonary Embolism 9 Obstructive Airways Diseases 10 The Pleura & Neurologic Disorders 11 Interstitial Lung Disease and SPNs 12 Treatment of Respiratory Failure 13 Pulmonary & Critical Care Case Conference

Introduction

Approach to Shortness of Breath

History and Physical Exam

Pulm Function Testing

Peds Pulmonary

Pneumonia

Definitions

Concepts

• Time of onset informs the likely causative agent:
  • 0-2 days: bacterial
  • 0-2 days: mycoplasma, viral, legionella, pneumocystis, fungal
  • chronic: anaerobic, mycobacterial, fungal, nocardia, actinomycosis

• Distribution informs the likely causative agent:
  • Lobar: bacterial, anaerobes
  • Diffuse: viral, pneumocystis, mycoplasma, fungal
  • Nodular / cavitary: mycobacterial, fungal, anaerobes

Details

• Workup for the pt with pneumonia:
  • H&P
  • CBC, electrolytes, glucose, BUN / Cr, LFTs
  • ABG, puls oximetry
  • Chest radiograph
  • Sputum gram stain, sputum culture (2 days)
  • Blood culture x2 (hospitalized pts, only)
    • Legionella
    • Fungi
    • Mycoplasma
    • Respiratory viral titers
  • Thoracentesis

Pulmonary Hypertension

Pulmonary Embolism

Obstructive Airways Diseases

The Pleura & Neurologic Disorders

Interstitial Lung Disease and SPNs

Treatment of Respiratory Failure

Pulmonary & Critical Care Case Conference