111414 clinical

Question 1

scratchy markings on CXR indicate

Answer 1

interstitial disease–involvement of the supporting tissue of lung parenchyma resulting in fine or coarse reticular opacities or small nodules

Question 2

if alveoli are full, it’s

Answer 2

fluffy

Question 3

pneumonic for interstitial infiltrates

Answer 3

sarcoid
hypersensitivity pneumonitis
interstitial lung dis
tumor, TB

fungal
asbestosis
collagen vasc, CA
eosinophilic granuloma
drugs-nitrofuratoin

Question 4

lymphatic distribution pattern of granulomas

Answer 4

follows bronchovascular bundles and interstitial septa

Question 5

stage II sarcoidosis

Answer 5

hilar adenopathy and lungs

Question 6

sarcoidosis-what other organs should you be concerned about

Answer 6

eyes - uveitis
heart- complete heart block
hypercalciuria and hypercalcemia–kidney stones

Question 7

ARDS

Answer 7

pulm edema, but non-cardiogenic pulm edema

Question 8

can pulmonary fibrosis be alveolar?

Answer 8

no

Question 9

pneumonic for alveolar infiltrates

Answer 9

PeCan PIE

pus (pneumonia)
cells (RBCs, eosinophils, tumor)
protein
inflammatory
edema (cardiac and non-cardiac)

Question 10

how should we manage pt with ARDS

Answer 10

tidal volume 6 ml/kg (small tidal volumes are good)
PEEP 16 (choose your PEEP)
prone positioning for more severe ARDS
conservative fluid management after just right early resuscitation

don’t give beta agonist
don’t give surfactant if adult
don’t give statins and salmon