Primary Pulmonary Hypertension

Primary pulmonary hypertension ( also called: idiopathic pulmonary arterial hypertension or plexogenic pulmonary arteriopathy) is characterized by elevated pulmonary artery pressure with no apparent cause.  Presentation Woman > Men Fatigue, dyspnea, chest pain, and syncope Physical Exam Paradoxical splitting of S2 JVD with large V waves The lungs are frequently very clear despite the shortness of breath. … Read more »

Primary Lung Malignancies

The primary lung malignancies are: Small Cell and Non-Small Cell. Lung cancer is the leading cause of cancer death in BOTH men and women. Risk factors include: ~Smoking ~Asbestos ~COPD ~Exposure to heavy metals & gases ~Secondary smoke Non-Small Cell Lung Cancer Non-small cell lung cancer accounts for 85% of all lung cancers. Non-small cell… Read more »

Upper Airway Cough Syndrome

Top Three Causes of a COUGH: Upper airway cough syndrome, previously referred to as postnasal drip syndrome Asthma Gastroesophageal reflux disease (GERD) “The pathogenic triad of chronic cough” Postnasal drip syndrome refers to secretions from the sinuses that drain into the pharynx causing frequent throat clearing.  20% of patients with Postnasal drip syndrome-induced cough are unaware… Read more »

Legionnaire’s Disease

Caused by Legionella pneumophila Symptoms Fever greater than 40 º C (>102 º F) with chills Cough (Dry or productive) Pleuritic chest pain Mental status changes with headache Diarrhea (watery) with nausea, vomiting, and/or abdominal pain Myalgias & arthralgias Physical Exam Bradycardia (look for this . . . with fever, tachypnea, and change in mental status, they should… Read more »

Asthma

Asthma is an airway disorder that causes respiratory hypersensitivity, inflammation, and intermittent obstruction. Asthma commonly causes constriction of the smooth muscles in the airway, wheezing, and dyspnea. Exercise-induced asthma is an asthma variant defined as a condition in which exercise or vigorous physical activity triggers acute bronchospasm in persons with heightened airway reactivity. It is… Read more »