Features Flashcards
1
Q
Allergic Bronchopulmonary Aspergillosis
A
Results from an allergy to aspergillus spores
Fx:
- wheeze, cough, dyspnoea
- proximal bronchiectasis
- Bronchocoeles (finger in glove) on CT
2
Q
Histoplasmosis
A
- Fever
- Malaise and weight loss
- Dry cough
- URTI sx
- Retrosternal lain
O/E
- Hepatosplenomegaly
- Erythematous cutaneous lesions
3
Q
Churg-Strauss Syndrome
A
A small vessel vasculitis with eosinophilic infiltration and granulomatous formation
Fx:
- chronic sinusitis
- asthma
- eosinophilia
- malaise, myalgia, fever, weight loss
Lung -> asthma, pneumonitis Skin -> purpura, SC nodules Heart -> HF, myocarditis GI - > gastroenteritis, ischaemia, bleeding Renal -> GN, HTN CNS -> mononeuritis multiplex
4
Q
Eosinophilic Granulomatosis with Polyangiitis (EGPA)
See Churg-Strauss note
A
A necrotising small-medium vessel vasculitis
5
Q
What was Idiopathic Pulmonary Fibrosis (IPF) previously called?
A
Cryptogenic fibrosing alveolitis
6
Q
Define IPF
A
Chronic lung condition characterised by progressive fibrosis of lung interstitium.
50-70yrs, M>F
7
Q
IPF Fx:
A
- progressive exertions dyspnoea
- bibasal creps
- dry cough
- finger clubbing
8
Q
EGPA fx:
A
- Atopy (asthma, rhinitis, sinusitis)
- Eosinophilia > 10% (+ pulm. Infiltrates)
- Necrotising multi-system small vessel vasculitis
- Mononeuritis multiplex
- pANCA +ve
9
Q
Eosinophilic pneumonia
A
- subacute resp sx
- alveolar/ blood eosinophilia
- CXR: peripheral pulmonary infiltrates
10
Q
Small Cell Lung Ca
Paraneoplastic Features
A
- ADH
- ACTH
- Lambert-Eaton Syndrome
11
Q
Squamous Cell Lung Ca
Paraneoplastic Features
A
- PTH-rp -> hypercalcaemia
- finger clubbing
- HPOA
- Ectopic TSH -> Hyperthyroidism
12
Q
Adenocarcinoma lung ca
Paraneoplastic Features
A
- gynaecomastia
* HPOA
