1. Kids can aspirate on stuff
2. Cough
2.1. Productive
2.1.1. Acute
2.1.1.1. Bacterial pneumonia
2.1.1.1.1. HCAP
2.1.1.1.2. CAP
2.1.1.2. Aspiration pneumonia
2.1.1.2.1. Alcoholics/no gag reflex -CNS -smells bad = anaerobes create amines
2.1.2. Chronic
2.1.2.1. Bronchiestasis
2.1.2.2. Cystic fibrosis
2.2. Non productive
2.2.1. Viral pneumonia
2.2.1.1. Adenvirus, parainfluenza, influenza a and b
2.2.2. Atypical pneumonia
2.2.2.1. Mysoplasma, legionella chlamidalphia
2.3. Hemoptysis
2.3.1. TB
2.3.1.1. Primary
2.3.1.1.1. Macrophage recognizes TB
2.3.1.2. Secondary- apical
2.3.1.3. Millary
2.3.2. Neoplasm
2.3.2.1. Smokers
2.3.2.1.1. Squamous cell carcinoma
2.3.2.1.2. Small cell lung carcinoma
2.3.2.2. Non-smokers
2.3.2.2.1. Adenocarcinoma
2.3.3. Renal component - bloody urine
2.3.3.1. Goodpastures
2.3.3.2. Wegener- mico polyangitis
3. Sob
3.1. Atelectasis
3.1.1. Resorption
3.1.1.1. Tumor = obstruction
3.1.1.2. Post op shallow breathing presents with Fever
3.1.2. Compression
3.1.2.1. Pulmonary/plural fibrosis
3.1.3. Contraction
3.1.3.1. Fluid build up
3.1.3.2. Mediastinal shift away from affected side
3.2. Wheezing and/or strider
3.2.1. Acute
3.2.1.1. Asthma
3.2.1.2. Croup - barking cough- steeple sign = cxr
3.2.2. Chronic
3.2.2.1. Asthma
3.2.2.2. Chronic bronchitis
3.3. Crackles (aveoli)
3.3.1. Acute
3.3.1.1. ARDS
3.3.1.1.1. Edema
3.3.1.2. Hypersensitivity pneumonia
3.3.1.3. Pulm embolism
3.3.1.4. CHF
3.3.1.5. S spontaneous pneumothorax
3.3.1.6. Drugs
3.3.2. Chronic
3.3.2.1. Emphysema
3.3.2.1.1. Alpha 1 anti trypsin deficiency or smoking
3.3.2.2. Primary pulm fibrosis
3.3.2.3. Pneumoconiosis
3.3.2.3.1. Auto immune
3.3.2.3.2. Coal miner
3.3.2.3.3. Silicosis
3.3.2.3.4. Asbestosis
3.3.2.3.5. Berylliosis
3.3.2.4. Cystic fibrosis