STEP 2 CK

DLCO in asthma?

normal or increased

DLCO in COPD? DLCO in ILD

decreased
can be normal in chronic bronchitis

DLCO in ILD?

low

normal Aa gradient

age/4+4 (estimate)

Eq to calc A-a gradient

FiO2 (Patm-47)- (PaCO2/.8)- PaO2

Wells criteria for PE

Sx of DVT-3
Hx of DVT/PE -1.5
Immobile -1.5
tachy- 1.5
post op (within 4wks)-1.5
Malignancy-1
Hemoptysis-1
PE most likely-3
=14
<4 low prob-->d dimer
>4- CT or V/Q

transudate effusion is caused by? `

increased PCWP and decreased oncotic P

Exudate is caused by?

increased vascular perm.

Light's criteria

transudative if:
LDH < 200
LDH eff/serum < 0.6
Protein eff/serum < 0.5

tension pneumo deviation?

opposite of pneumo

Small cell carcinoma paraneoplastic syndromes?

ACTH (Cushing syndrome)
SIADH
Lambert Eaton (ab against presynaptic Ca channels)

Adenocarcinoma of the lung?

clubbing from hypertrophic osteoarthropathy

SCC of the lung is associated with which paraneoplastic syndromes?

Hypercalcemia (PTHrP

H

...