30: Sarcoid, Tb, Pneumothorax Flashcards
1
Q
What organs are affected by sarcoid + MC organ
A
All organs, lungs are MC
2
Q
How to dx sarcoidosis
A
- Clinical findings
- Histo: non-caseating granulomas
- R/o other similar diseases
3
Q
How to biopsy to check for sarcoidosis?
A
Bronchoscopy
4
Q
Drugs to treat sarcoidosis
A
Corticosteroids***, immunosuppressants, biologics
5
Q
Complications of sarcoidosis
A
- Increased risk of: infection, cancer, CHF, CVA, VTE, autoimmune disease
- Higher rates of: anxiety, depression, sleep disorders
6
Q
When should US health care workers be tested for Tb?
A
One baseline screen -> no routine serial screening needed
7
Q
Limitation of TST and IGRA in Tb screening
A
Poor predictive values: dont differentiate active infection vs cleared infection with immune memory
8
Q
Simple vs tension pneumothorax on CXR
A
- Simple: no mediastinal shift
2. Tension: contralateral mediastinal shift
9
Q
Why is a tension pneumothorax dangerous?
A
It could start pressing on major vessels in the chest
