CVPR Week 5: Occupational lung disease Flashcards

1
Q

Keys to Dx Occupational lung disease

A
  • occupational history
  • supplement history by material safety data sheets (MSDS)
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2
Q

Occupational history: The quick survey

4 listed questions

A
  • Where do/did you work?
  • How do/did you do your job?
  • Are/were you exposed to hazards?
  • Co-workers or family exposed?
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3
Q

Rhinitis and laryngitis

A
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4
Q

Tracheitis, bronchitis and bronchiolitis

A
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5
Q

Asthma and COPD

A
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6
Q

Cancer

A
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7
Q

Interstitial disease

A
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8
Q

Large particles

A
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9
Q

Occupational airway disorders

4 listed

A
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10
Q

Occupational asthma epidemiology

2 listed

A
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11
Q

Occupational asthma definition

A
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12
Q

Types of Occupational asthma

A
  • OA with latency
  • OA without latency
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13
Q

Occupational asthma most common type

A

Occupational asthma with latency

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14
Q

Occupational asthma with latency

A
  • immune sensitization
    • LMW compounds or not IgE mediated
    • HMW compounds or IgE mediated
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15
Q

Occupational asthma without latency

A
  • Non-allergic irritant mediated
    • RADS (Reactive Airways Dysfunction Syndrome)
      • Chlorine and Ammonia
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16
Q

Common causes of Occupational asthma

A

HMW compounds (high molecular weight compounds)

LMW Compounds (low molecular weight compounds)

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17
Q

Common causes of Occupational asthma

HMW compounds

3 listed

A
  • Animal products
  • Plant products
  • Biologic enzymes
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18
Q

Common causes of Occupational asthma

LMW compounds

4 listed

A
  • Isocyanates
  • Anhydrides
  • Wood dusts
  • Metals
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19
Q

LMW compounds AKA

A

Low molecular weight compounds

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20
Q

HMW compounds AKA

A

High molecular weight compounds

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21
Q

Dx of Occupational asthma

A
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22
Q

Occupational asthma PFT

4 listed

A
  • Peak flows before and after a work shift
  • Spirometry before and after a work shift
  • Methacholine challenge before and after a work shift
  • Specific inhalation challenge test
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23
Q

Occupational asthma peak flows

A
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24
Q

Management for irritant-induced occupational asthma

A

Limit exposures

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25
Management for sensitizer-induced occupational asthma
Removal from workplace exposures
26
Question
27
Interstitial lung disease classifications 2 listed
* Pneumoconiosis * Granulomatous disease
28
Pneumoconiosis types 4 listed
* Silicosis * Coal Workers' Pneumoconiosis * Asbestosis * Uranium Workers' Pneumoconiosis
29
Granulomatous diseases types 2 listed
* Chronic beryllium lung disease * Hypersensitivity Pneumonitis
30
Silicosis & Progressive Massive Fibrosis Facts to know 5 listed
31
Silicosis Causes 7 listed
Occupational Exposures * Mining * Quarrying * Tunneling * Stone cutting * Abrasive blasting * Glass manufacture * Ceramics
32
Silicosis pathology
Fundamental lesion is a silicotic nodule
33
What is this?
Silicotic nodule
34
Question
35
What is this?
Coal Workers' Pneumoconiosis
36
Coal Workers' Pneumoconiosis radiological features
37
What pathology?
Silicosis
38
Coal Workers' Pneumoconiosis subtypes
* Simple CWP * Caplan's Syndrome
39
Simple Coal Workers' Pneumoconiosis clinical features 3 listed
* often asymptomatic * often normal PFT * Abnormal gas exchange during exercise
40
Caplan's Syndrome
PMF + RA progressive massive fibrosis + Rheumatoid arthritis
41
CWP Risk for lung cancer
No risk for lung cancer
42
Asbestos-related diseases types
Parenchymal Pleural
43
Parenchymal Asbestos-related diseases 3 listed
* Asbestosis * Lung cancer * Rounded Atelectasis
44
Pleural Asbestos-related diseases 4 listed
* Benign asbestos-related pleural effusion * Pleural plaques * Pleural thickening * Malignant mesothelioma
45
Asbestos-related diseases Early-onset diseases
Benign asbestos-related pleural effusion pleural plaques
46
Benign asbestos-related pleural effusion onset
Early-onset
47
Pleural plaques onset
Early-onset
48
Asbestosis onset
Late onset
49
Lung cancer onset
Late onset
50
Pleural plaques onset
Early or Late-onset
51
Malignant mesothelioma onset
Late-onset
52
Asbestos-related diseases causes 4 listed
Occupational exposures * Mining * Construction * Shipyard work * Automobil repair: brake linings
53
Asbestos-related Diseases Ferruginous body or Asbestos body
Ferruginous body or asbestos body: Indicates asbestos exposure but not necessarily presence of disease
54
What is this?
Asbestos body
55
Facts to know about Asbestosis
56
What pathology if any?
57
What pathology if any? And features
58
Hypersensitivity Pneumonitis types 3 listed
Best known examples * Farmers' lung (thermophilic actinomyces) * Pigeon fanciers' disease (Avian proteins) * Humidifier's lung (thermophilic actinomyces)
59
What is this?
60
Serology of Farmer's Lung
Thermophilic actinomyces
61
Serology of Humidifier's Lung
Thermophilic actinomyces
62
Serology of Pigeon Fancier's Disease
Avian proteins
63
What pathology if any?
Hypersensitivity Pneumonitis
64
What is this CT depicting?
Hypersensitivity Pneumonitis
65
Signs of Hypersensitivity Pneumonitis 3 listed
66
Selected causes of occupational lung cancer
67
Methods to decrease occupational lung disease 4 listed