6. MTB Step 3 - Sarcoidosis Flashcards
Cards Complete:
PRESENTATION
What are (5) Common Presenting characteristics/manifestations of Sarcoidosis?
- African-American Woman
- Age < 40
- Cough
- Shortness of Breath (SOB)
- Fatigue
PRESENTATION
What is the Most Common Physical Exam finding for Sarcoidosis?
Rales
on Pulmonary exam
PRESENTATION
Even though Sarcoidosis can involve many organs, which organs findings make up the vast majority of cases?
LUNG
the ONLY finding in the vast majority of cases.
PRESENTATION
What is (1) Rare Physical Exam finding of the EYE in Sarcoidosis?
- Uveitis that can be sight threatening
PRESENTATION
What is (1) Rare NEURAL Physical Exam finding in Sarcoidosis?
- Seventh CN involvement (most common, yet still rare)
PRESENTATION
What are (2) Rare Physical Exam finding of the SKIN in Sarcoidosis?
- Lupus Pernio - purplish lesion of the skin of the face
- Erythema Nodosum
PRESENTATION
What are (2) Rare CARDIAC Physical Exam findings in Sarcoidosis?
- Restrictive Cardiomyopathy
- Cardiac Conduction Defects
PRESENTATION
Which (2) Organs are normal on Physical Exam in Sarcoidosis?
- Renal
- Hepatic
DIAGNOSIS
What Electrolyte Disturbance occurs in a small number of patients with Sarcoidosis, and why?
HYPOCALCEMIA
secondary to vitamin D production by the granulomas of sarcoidosis.
DIAGNOSIS
- What is the Best INITIAL Diagnostic Test for Sarcoidosis?
- What is the Most ACCURATE Diagnostic Test for Sarcoidosis?
- CXR - always shows Enlarged Lymph Nodes.
- Lung or Lymph Node Biopsy - shows Noncaseating Granulomas
DIAGNOSIS
What does Bronchoalveolar Lavage (BAL) show?
Increased CD4 Cells
TREATMENT
What is the Absolute BEST Treatment for Sarcoidosis?
STEROIDS!!!