FN: Industrial Lung Disease

Question 1

Coal-workers Pneumoconiosis description and Ix

Answer 1

􏰀 CWP → Progressive Massive Fibrosis
􏰀 Presents as progressive dyspnoea and chronic
bronchitis
􏰀 CXR: upper zone fibrotic masses

Question 2

Silicosis description

Answer 2

􏰀 Quarrying, sand-blasting
􏰀 Upper zone reticular shadowing and egg shell
calcification of hilar nodes → PMF

Question 3

Asbestosis description

Answer 3

􏰀 Demolition and ship building
􏰀 Basal fibrosis, pleural plaques
􏰀 ↑ risk of mesothelioma
􏰁 Chest pain, wt. loss, clubbing, recurrent effusions, dyspnoea.

Question 4

Asbestosis Ix shows

Answer 4

􏰁 CXR: pleural effusions, thickening
􏰁 Dx by histology of pleural biopsy
􏰁