adenoCa

adenoCa



Compliance: DECREASE in pulmonary edema, fibrosis, pneumonia,
INCREASE in emphysema, aging

Hb: NEGATIVE allostery








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High altitude:

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(minimal increase in BP due to vasodilation of muscles)

Rhinosinusitis:


Angiofibroma: nose bleed in adolescent male
Vocal cord nodule: bilateral, myxoid, hoarseness and resolves with rest
Langeal papilloma, hoarseness: single in adults and multiple in children




For ALL obstructive dz: hypoxic vasoconstriction - > cor pulmonale
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HSN pneumonitis: Granulomas + eos


adenoCa








NRDS: PDA


Initial dmg neutrophilic substances toxic to alveolar wall, activation of coag cascade, O2-dervied FR
(unresponsive to O2)
adenoCa




Mitral stenosis (increase in resistance>increase pressure)
Recurrent thromboemobli (decrease CSA)
Autoimmune (intimal fibrosis; medial hypertrophy)
L->R (shear stress dmgs endothelium)
Sleep apnea
High altitude



adenoCa

Plexiform
Sleep apnea: normal PaO2 during day [nocturnal hypoxia: risk HTN, arrhythmia, sudden death]
Central: no respiratory effort
OSA: SNORING, OBESITY









Lung Ca: calcified coin


adenoCa



Adenocarcinoma in situ

SqCC: Cavitation, Keratin pearls
SmCC: ADH, lambert eaton (improves with use); AMPLIFICATION of myc; CHEMO NOT SURGERY





adenoCa

Hemorrhagic pleural effusions/pleural thickening/psammoma/cytokeratin+,
calretin +

Pancoast (SqCC) hoarsenessj, sensorimotor deficits

TRIAD: facial plethora, JVD, bilateral UE edema, malignancy and
thrombosis from indwelling catheter

adenoCa
Lobar: Legionella, Klebsiella
e.g. cruise trip, high fever, NEURO, GASTRO, UNILOBAR INFILTRATE->CONSOLIDATION (smokers beware)
HYPONATREMIA!!!! so HY

Broncho: S. aureus, H. flu, Klebsiella


adenoCa



Decrease breath sounds, dull percussion, decrease fremitus: transudate (high renin hypertension),
exudate (malignancy, pneumonia, CVD, trauma; increase permeability), lymphatic (increase TG)

adenoCa
; AIR NOT EXITING












Salmeterol, formoterol: adverse effects are tremor and arrhythmia

; cardiotox,
neurotox; metabolized by p450

; beclomethasone is 1
st
line for chronic asthma

adenoCa

adenoCa




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adenoCa

Subscapulars (subscapular nerve) medially rotates and adducts
infraspinatus (suprascapular nerve) pitching injury (adducts and laterally rotates)






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adenoCa