Extrinsic Allergic Alveolitis - Background and Work-up

Question 1

chronic ? eventually results in interstitial fibrosis

Aetiology;
?’s lung: caused by micropolyspora.
Bird fancier’s lung: caused by ? in bird ?.
Malt worker’s lung: caused by ?.

Answer 1

inflam
farmers
proteins
droppings
aspergillus

Question 2

Clinical features of acute exposure come on ?-? hours post-exposure;
- Fevers, ? and ?.
? cough and ?, with possible ?.
Treatment of the acute attack is with ?, and oral ?with tapered ? in dose.
Chronic features are as per ? ? ?

Answer 2

4-6
rigors
myalgia
dry
sob
wheeze
o2
pred
reduction
IPF

Question 3

Investigations;
FBC: there will be a ?.
Serum ? levels: only indicate exposure.
?/?/ ? ? tests: confirm interstitial disease.
? lavage: confirms diagnosis.
o Shows increased ? ? and ? cells.

Answer 3

neutrophilia
precipitant
CXR,CT, pulm function
bronchoalveolar
t lymphocytes
mast

Question 4

Treatment;
Aim for ?, with no exposure or face ? etc.
Long term ? may give ? improvement.
? fibrosis is not amenable to treatment.
Farmer's lung is ? in the UK.

Answer 4

prevention
masks
pred
physiological
established
compensatable