GOGETA
I'm Dr. GOGETA
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Ok please in this thread write from the most basic to the most
YOU MUST KNOW THIS, and the HY questions.
Please do not post NBME questions.
I will start with
If the D-dimers are negative the patient does not have PTE, but if is positive is nonspecific.
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| shahnaz.r
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Patients with symptomatic Aortic Stenosis needs Aortic Valve replacement.
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| shahnaz.r
Forum Junior
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ops.it's not cardio..................
sorry..................
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| GOGETA
I'm Dr. GOGETA
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First line of TX for COPD is anticholinergic like iprotropium
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| GOGETA
I'm Dr. GOGETA
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hello
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| Ujk
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Obstructive vs Restrictive pulmonary disease
Obstructive FEV1/FVC.................less than normal
Restrictive FEV1/FVC................... often normal
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| Ujk
Forum Guru
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Single Pulmonary Nodule
Certain clues point to the cause of a single pulmonary nodule:
Immigrant Think of TB, and do a skin test.
Southwest US Think of Coccidioides immitis.
Cave explorer, exposure to bird droppings, or Ohio Mississippi River valleys (midwest) Think of histoplasmosis
Smoker > 50 yr Think of lung ca, do bronchoscopy & biopsy
Person < 40 yr with none of above Think of hamartoma
Source Crush step 3
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| DrVirgo
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Ujk wrote:
Single Pulmonary Nodule
Smoker > 50 yr Think of lung ca, do bronchoscopy & biopsy --->Remove Nodule
Person < 40 yr with none of above Think of hamartoma ---> Follow up with CXR every 3 months for 2 years.
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| DrVirgo
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GOGETA wrote:
First line of TX for COPD is anticholinergic like iprotropium
2nd = Beta agonists
3rd = Aminophylline, Theophylline.
***The ONLY two ways to DECRESE MORTALITY in COPD are home O2 and Smoking cessation.
--Give Home O2 if the PaO2 < 55mmHg or Sat < 85%
Patients with Cor Pulmonale -give Home O2 when PaO2<59mmHg.
***Treatment of COPD Exacerbation: Home O2, Antibiotics, Corticosteroids.
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| GOGETA
I'm Dr. GOGETA
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Acute pulmonary edema could be confuse with tamponed so check if lungs are clear or not. If they are not clear think of Pulmonary Edema
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| GOGETA
I'm Dr. GOGETA
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Fev1/FVC= less than 80% some books say less than 75% is COPD
How you differentiate COPD from Asthma= Methilcholine test also with Beta agonist Asthma will go to normal, COPD will not
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| GOGETA
I'm Dr. GOGETA
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The 3 main causes of ARDS are
Sepsis
Trauma
aspiration pneumonia
Pancreatitis is another one
Patients with ARDS have a 25-30% of mortality in the past it was 50%
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| ganesha123
Forum Senior
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pulmonary edema
PCWP < 12 ARDS
PCWP > 15 Cardigenic
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| aspire
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MC cause of death in acromegaly- congestive heart failure.
Cardiac tamponade-diuretics, nitrates contraindicated. Use iv fluids and inotropes to manage hypotension.
Atropine contraindicated in mobitz type II heart block.
Acromegaly-Best initial test- Give glucose and measure GH levels.
never measure GH levels as there will be diurnal variability.
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| peter90036
Forum Elite
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Posts: 315
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aspireeee ... pulmonary stuff here 
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