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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
Q

Management for sensitizer-induced occupational asthma

A

Removal from workplace exposures

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26
Q

Question

A
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27
Q

Interstitial lung disease classifications

2 listed

A
  • Pneumoconiosis
  • Granulomatous disease
28
Q

Pneumoconiosis types

4 listed

A
  • Silicosis
  • Coal Workers’ Pneumoconiosis
  • Asbestosis
  • Uranium Workers’ Pneumoconiosis
29
Q

Granulomatous diseases types

2 listed

A
  • Chronic beryllium lung disease
  • Hypersensitivity Pneumonitis
30
Q

Silicosis & Progressive Massive Fibrosis Facts to know

5 listed

31
Q

Silicosis Causes

7 listed

A

Occupational Exposures

  • Mining
  • Quarrying
  • Tunneling
  • Stone cutting
  • Abrasive blasting
  • Glass manufacture
  • Ceramics
32
Q

Silicosis pathology

A

Fundamental lesion is a silicotic nodule

33
Q

What is this?

A

Silicotic nodule

34
Q

Question

35
Q

What is this?

A

Coal Workers’ Pneumoconiosis

36
Q

Coal Workers’ Pneumoconiosis radiological features

37
Q

What pathology?

38
Q

Coal Workers’ Pneumoconiosis subtypes

A
  • Simple CWP
  • Caplan’s Syndrome
39
Q

Simple Coal Workers’ Pneumoconiosis clinical features

3 listed

A
  • often asymptomatic
  • often normal PFT
  • Abnormal gas exchange during exercise
40
Q

Caplan’s Syndrome

A

PMF + RA

progressive massive fibrosis + Rheumatoid arthritis

41
Q

CWP Risk for lung cancer

A

No risk for lung cancer

42
Q

Asbestos-related diseases types

A

Parenchymal

Pleural

43
Q

Parenchymal Asbestos-related diseases

3 listed

A
  • Asbestosis
  • Lung cancer
  • Rounded Atelectasis
44
Q

Pleural Asbestos-related diseases

4 listed

A
  • Benign asbestos-related pleural effusion
  • Pleural plaques
  • Pleural thickening
  • Malignant mesothelioma
45
Q

Asbestos-related diseases Early-onset diseases

A

Benign asbestos-related pleural effusion

pleural plaques

46
Q

Benign asbestos-related pleural effusion onset

A

Early-onset

47
Q

Pleural plaques onset

A

Early-onset

48
Q

Asbestosis onset

A

Late onset

49
Q

Lung cancer onset

A

Late onset

50
Q

Pleural plaques onset

A

Early or Late-onset

51
Q

Malignant mesothelioma onset

A

Late-onset

52
Q

Asbestos-related diseases causes

4 listed

A

Occupational exposures

  • Mining
  • Construction
  • Shipyard work
  • Automobil repair: brake linings
53
Q

Asbestos-related Diseases Ferruginous body or Asbestos body

A

Ferruginous body or asbestos body: Indicates asbestos exposure but not necessarily presence of disease

54
Q

What is this?

A

Asbestos body

55
Q

Facts to know about Asbestosis

56
Q

What pathology if any?

57
Q

What pathology if any? And features

58
Q

Hypersensitivity Pneumonitis types

3 listed

A

Best known examples

  • Farmers’ lung (thermophilic actinomyces)
  • Pigeon fanciers’ disease (Avian proteins)
  • Humidifier’s lung (thermophilic actinomyces)
59
Q

What is this?

60
Q

Serology of Farmer’s Lung

A

Thermophilic actinomyces

61
Q

Serology of Humidifier’s Lung

A

Thermophilic actinomyces

62
Q

Serology of Pigeon Fancier’s Disease

A

Avian proteins

63
Q

What pathology if any?

A

Hypersensitivity Pneumonitis

64
Q

What is this CT depicting?

A

Hypersensitivity Pneumonitis

65
Q

Signs of Hypersensitivity Pneumonitis

3 listed

66
Q

Selected causes of occupational lung cancer

67
Q

Methods to decrease occupational lung disease

4 listed

CVPR (93 decks)

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