6. MTB Step 3 - Sarcoidosis Flashcards

Cards Complete:

1
Q

PRESENTATION

What are (5) Common Presenting characteristics/manifestations of Sarcoidosis?

A
  1. African-American Woman
  2. Age < 40
  3. Cough
  4. Shortness of Breath (SOB)
  5. Fatigue
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2
Q

PRESENTATION

What is the Most Common Physical Exam finding for Sarcoidosis?

A

Rales

on Pulmonary exam

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3
Q

PRESENTATION

Even though Sarcoidosis can involve many organs, which organs findings make up the vast majority of cases?

A

LUNG

the ONLY finding in the vast majority of cases.

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4
Q

PRESENTATION

What is (1) Rare Physical Exam finding of the EYE in Sarcoidosis?

A
  1. Uveitis that can be sight threatening
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5
Q

PRESENTATION

What is (1) Rare NEURAL Physical Exam finding in Sarcoidosis?

A
  1. Seventh CN involvement (most common, yet still rare)
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6
Q

PRESENTATION

What are (2) Rare Physical Exam finding of the SKIN in Sarcoidosis?

A
  1. Lupus Pernio - purplish lesion of the skin of the face
  2. Erythema Nodosum
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7
Q

PRESENTATION

What are (2) Rare CARDIAC Physical Exam findings in Sarcoidosis?

A
  1. Restrictive Cardiomyopathy
  2. Cardiac Conduction Defects
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8
Q

PRESENTATION

Which (2) Organs are normal on Physical Exam in Sarcoidosis?

A
  1. Renal
  2. Hepatic
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9
Q

DIAGNOSIS

What Electrolyte Disturbance occurs in a small number of patients with Sarcoidosis, and why?

A

HYPOCALCEMIA

secondary to vitamin D production by the granulomas of sarcoidosis.

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10
Q

DIAGNOSIS

  1. What is the Best INITIAL Diagnostic Test for Sarcoidosis?
  2. What is the Most ACCURATE Diagnostic Test for Sarcoidosis?
A
  1. CXR - always shows Enlarged Lymph Nodes.
  2. Lung or Lymph Node Biopsy - shows Noncaseating Granulomas
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11
Q

DIAGNOSIS

What does Bronchoalveolar Lavage (BAL) show?

A

Increased CD4 Cells

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12
Q

TREATMENT

What is the Absolute BEST Treatment for Sarcoidosis?

A

STEROIDS!!!

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