Title: Big Ol' Bonewizardry Deck / Hex Clues / Resp
Tags: hex-clues hex-clues::resp

Q: What is a "pink puffer"?
A: Emphysema 🎈
thin + pursed-lip breathing 🌬️
↑RV, ↓DLCO 💨

Q: What is Large cell CA?
A: peripheral, undifferentiated 🫁
β-hCG → gynecomastia 💊
poor prognosis 💀

Q: Who gets Byssinosis?
A: cotton/textile workers 🧵💢
"Monday morning chest tightness" 📅

Q: What is Pneumonia?
A: fever + cough + infiltrate 🫁
alveolar consolidation 🔥
productive 🌡️

Q: What is Bronchiolitis?
A: Bronchiolitis (RSV) 🫁
kids 👶
small airway inflammation 🌬️

Q: Where is a Bochdalek hernia?
A: posterolateral, LEFT 🫁🔙
congenital, pulmonary hypoplasia 👶

Q: Who gets Silicosis?
A: sandblasters + miners + glassblowers 💎
upper-lobe nodules + eggshell calcs 🫁
↑TB risk 🦠

Q: What is a "blue bloater"?
A: Chronic Bronchitis 🫁
cyanotic + obese + productive cough 😮‍💨
cor pulmonale
Reid index >50% 🩵

Q: Where is a Morgagni hernia?
A: anterior/retrosternal, RIGHT 🫁➡️
rare, often asymptomatic 🤷

Q: What is Epiglottitis?
A: H. flu B + thumb sign 🦠
drooling + tripod + stridor 👍
DON'T examine throat 🚫

Q: What is Croup?
A: parainfluenza + steeple sign 🦠
barking seal cough 🗼
racemic epi + steroids 🦭

Q: What color is air on an x-ray?
A: Black 🩻
radiolucent ⚫
X-rays pass through air 💨

Q: What is Anthracosis?
A: Coal Worker's Pneumoconiosis ⚒️
upper-lobe nodules + PMF 🖤
NOT a lung CA risk ⛏️

Q: What disease has a steeple sign on neck film?
A: Croup 🦠
steeple sign = subglottic narrowing 🗼
parainfluenza 🦭

Q: What is Squamous cell CA?
A: CENTRAL + cavitates + smoker 🫁🚬
PTHrP → hyperCa 🦴

Q: What color is fluid/solid on x-ray?
A: White 🩻
radiopaque ⚪
X-rays absorbed 💧

Q: What is Asthma?
A: expiratory wheeze, reversible 🫁
↑IgE + eos + Curschmann spirals 🌬️
Charcot-Leyden 💎

Q: What is Carcinoid syndrome?
A: flushing + diarrhea + wheezing 🫁
5-HT → right-heart fibrosis 🌶️
↑5-HIAA 🧪

Q: What disease has a thumb sign on neck film?
A: Epiglottitis 🦠
thumb sign = swollen epiglottis 👍
H. flu B 🚨

Q: What is Chronic Bronchitis?
A: cough ≥3 mo/yr × 2 yrs 🫁
Reid index >50% 🌧️
blue bloater 🩵

Q: What is Tracheomalacia?
A: expiratory stridor since birth 👶🌬️
soft tracheal cartilage 🍃

Q: What diseases have respiratory acidosis?
A: COPD + asthma exacerbation 🫁
hypoventilation, opioids ⬇️
↑CO2 🌫️

Q: What is Laryngomalacia?
A: INspiratory stridor in infants 👶
floppy supraglottis, worse supine 🌬️
self-resolves 🛌

Q: What are the muscles needed to breathe out?
A: Passive expiration 💨
elastic recoil only 😌
no muscle at rest 🎈

Q: What is Bronchiectasis?
A: purulent sputum + hemoptysis + halitosis 🫁
CF, Kartagener, ABPA 💧
permanent dilation 🌳

Q: What does hyperresonance tell you?
A: hyperinflated lungs 🫁🔔
COPD or pneumothorax 💨

Q: What is Tracheitis?
A: Bacterial Tracheitis 🦠
S. aureus + toxic + gray pseudomembrane 💀
↑WBC, NO drooling 🚨

Q: Who gets Berylliosis?
A: aerospace + fluorescent bulb workers 💡🫁
non-caseating granulomas (sarcoid-like) 🚀

Q: What is Aspergillosis?
A: ABPA (asthma/CF) + aspergilloma + invasive 🍄
mold from compost/hay 🌾
↑IgE 🪵

Q: What is Maxillary Sinusitis?
A: face/tooth pain worse bending forward 🤧🦷
S. pneumo, H. flu, M. catarrhalis 🌡️

Q: What is Cystic Fibrosis?
A: CFTR ΔF508 + meconium ileus + Pseudomonas PNA 🧬
thick mucus, salty sweat 🧂
infertility 💧

Q: What is Emphysema?
A: alveolar destruction, pink puffer 🎈💨
centriacinar (smoker) vs panacinar (α1-AT) 🚬

Q: What drugs cause pulmonary eosinophilia?
A: Drug-induced PIE 💊
Nitrofurantoin, sulfas, phenytoin, MTX 🫁
eosinophilic infiltrates 🌸

Q: What is Bronchoalveolar CA?
A: Adenocarcinoma in situ 🫁
non-smoker subtype 🚭
looks like PNA on CXR 🩻

Q: What is Pneumothorax?
A: hyperresonance + ↓breath sounds 🫁💨
tension → tracheal deviation AWAY 🚨

Q: What does rhonchi tell you?
A: large airway mucus 🫁
clears with cough 🌊
obstructive 🤧

Q: What diseases have pulmonary eosinophilia?
A: PIE diseases 🫁
ABPA + Loeffler + Churg-Strauss 🥧
eosinophilic lung infiltrates 🌸

Q: What is Restrictive lung disease?
A: small stiff lungs 🫁
↓TLC, normal/↑FEV1/FVC 🥒
trouble breathing IN ⬇️

Q: What is the obstructive pattern of blood gasses?
A: Obstructive ABG 🩸
↑pCO2 → respiratory acidosis 🫁
CO2 retention 🌫️

Q: What is the restrictive pattern of blood gasses?
A: Restrictive ABG 🩸
↓pO2 → ↑RR → ↓pCO2 🫁
respiratory alkalosis 💨

Q: What is Small cell CA?
A: central + smoker + neuroendocrine 🫁⚡
Cushing's (ACTH), SIADH, Lambert-Eaton, SVC 💀

Q: What is Obstructive lung disease?
A: hyperinflated 🫁
↓FEV1/FVC ↑TLC, ↑RV 🎈
trouble breathing OUT ⬆️

Q: How do you detect a Pulmonary Embolus?
A: CT-PA gold std 🫁
tachypnea + pleuritic CP + S1Q3T3 ⚡
↑D-dimer 🩸

Q: What diseases have metabolic acidosis?
A: Anion gap: MUDPILES 🩸⬇️
Non-gap: RTA, diarrhea 🧪

Q: What diseases have hemoptysis?
A: Bronchiectasis, TB, lung CA 🩸🫁
Goodpasture, GPA, PE 🚨

Q: What does grunting tell you?
A: auto-PEEP 👶
infant keeping alveoli open 🌬️
NRDS 🫁

Q: Who gets Asbestosis?
A: shipyard + pipe fitters + brake mechanics 🚢
LOWER-lobe fibrosis + pleural plaques 🫁
ferruginous bodies + mesothelioma ☠️

Q: What does stridor tell you?
A: extrathoracic narrowing 🌬️
INspiratory 🚨
get lateral neck XR 🩻

Q: What diseases have metabolic alkalosis?
A: vomiting + diuretics + NG suction 🩸⬆️
Conn's, Cushing's 🤮

Q: What does wheezing tell you?
A: intrathoracic narrowing 🌬️
EXpiratory 🎵
asthma, COPD, FB 🫁

Q: What does tracheal deviation tell you?
A: ↔️ Tracheal Deviation 🫁
AWAY from tension PTX
TOWARD atelectasis/lobectomy 🎯

Q: What diseases have respiratory alkalosis?
A: hyperventilation 🩸⬆️
anxiety, pregnancy, PE, altitude, early salicylates 💨

Q: What is Sarcoidosis?
A: non-caseating granulomas + bilateral hilar LAD 🫁
↑ACE + hyperCa + uveitis 🌑
AA women 👩🏾

Q: What does dull percussion tell you?
A: fluid or consolidation 🫁🪨
effusion, PNA, hemothorax 💧

Q: What are the risk factors for lung cancer?
A: Lung CA risks 🚬
smoking #1 + radon + asbestos 🫁
pneumoconioses EXCEPT anthracosis ☠️

Q: What are the muscles needed to force air in?
A: Forced inspiration 💪
scalenes + SCM + trapezius + pecs 🌬️
accessory muscles 🏋️

Q: What are the muscles needed to force air out?
A: Forced expiration 💪
abdominal wall 💨
obliques + rectus + transversus + QL 🎈

Q: What are the muscles needed to breathe in?
A: Inspiration 💪
diaphragm (primary) 🌬️
external intercostals + innermost 🫁