EOM study Flashcards

1
Q

Gold standard for idopathic pulmonary fibrosis

A

High Resolution CT

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2
Q

Idopathic pulmonary fibrosis diagnostic find on HRCT

A

peripheral subpleural Reticular opacities
Traction Bronchiectasis
Honey combing

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3
Q

Treatment for Idopathic pulmonary fibrosis

A

Pirfenidone & nintedanib

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4
Q

Where in the lungs do sarcoidosis affects?

A

Lungs are affect in 90% of cases -> Upper lobe and bronchovascular bundles are affected.

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5
Q

Who is affected by sarcodosis the most?

A

Young, Females, African-American
Present b/w 20-40 years old

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6
Q

Disease with noncaseating granulomas.

A

Sarcoidosis

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7
Q

Lupus perino

A

Pathoneumonic for Sacrcoidosis. Violaceous rash on face, nose, lips and forehead.

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8
Q

Fever, Erythema nodosum, migratory polarthralgia, bilateral hilar lymphadenopathy

A

Lofgren syndrome -> seen in people w sarcoidosis

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9
Q

Heerfordt’s syndrome

A

Uveitis, parotid enlargement, chronic fever. -> seen in sarcoidosis

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10
Q

What are the signs of sarcoidosis?

A

cranial nerve palsy
Lupus perino
lofgren syndrome
Heerfordt’s syndrome

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11
Q

Treatment for sarcoidosis

A

Stage I -> self-limiting NSAIDS
Stage II &III-> corticosteroids or methotrexate, chloroquine and hydroxychloroquine
Stage IV-> lung transplant

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12
Q

What treatment is used in refractory sarcoidosis?

A

Infliximab or adalimumab

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13
Q

Key CXR finding in sarcoidosis?

A

Bilaterl Hilar lymphadenopathy

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14
Q

Key serum finding sarcoidosis?

A

Increased ACE, Calcium and vitamin D

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15
Q

Mining, quarrying, stonework, foundries

A

High risk for silica inhalation = silicosis

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16
Q

where are nodules found in silicosis

A

Upper lobes. (to remember: they mine for rock low int the ground = so will see affects high in the lungs)

17
Q

Coal miners

A

High risk for inhalation of coal dust -> coal works pneumoconiosis

18
Q

Where in the lungs is affected by coal works pneumoconiosis?

A

Upper lobe

19
Q

Caplan syndrome

A

Coal workers pneumoconiosis and rheumatoid arthritis