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Clin Med II-Pulmonary > ILD > Flashcards

ILD Flashcards

1
Q

clinical presentation of ILD

A

progressive DOE, NONPRODUCTIVE cough, NO wheezing and chest pain

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2
Q

PE of ILD

A

crackles, inspiratory squeaks, cor pulmonale , cyanosis and clubbing (advance dz)

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3
Q

CXR od ILD

A
  1. ground glass (early)
  2. reticular netlike /micronodular pattern
  3. honeycombing (late)
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4
Q

most common CXR finding in ILD

A

bilateral reticular netlike opacities

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5
Q

pulmonary function test for ILD

A

restrictive defect

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6
Q

restrictive defect

A

decreased TLC, decreased FEV1 and FVC, nl or increased FEV1/FVC ratio

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7
Q

obstructive defect

A

increased TLC, nl FVC, decreased FEV1/FVC ratio

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8
Q

DLCO

A

diffusing capacity (reduced in ILD)

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9
Q

ABG

A

arterial blood gas (nl, hypoxemia, alkalosis in ILD)

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10
Q

bronchoalveolar lavage

A

minor extension of bronchoscopy allows for cellular analysis

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11
Q

gold standard for dx of ILD

A

lung biopsy

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12
Q

types of lung biopsy

A

fibroptic bronchoscopy w/transbronchial lung biopsy, thoracoscopy, open lung

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13
Q

complications of ILD

A

pulm HTN, cor pulmonale ( RVH), HF, Pneumothorax, CA

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14
Q

most common cause of 2nd pneumothorax

A

ILD

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15
Q

pneumoconiosis

A

any dz of the respiratory due to inhalation of dust particles

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16
Q

asbestos are linked to

A

bronchogenic CA and malignant mesothelioma

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17
Q

mesothelioma is always a/w

A

asbestos (most common in pleura)

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18
Q

Asbestosis

A

gradual onset, DOE, inspiratory crackles, clubbing, dry cough

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19
Q

CXR of asbestosis

A

opacities in lower lungs, thickened pleura, pleural plaques

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20
Q

PFTs of asbestosis

A

restrictive pattern

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21
Q

al asbestosis

A

Male, 50ish, pipefitter, smoker, pleural plaques

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22
Q

lung damage is asbestosis is

A

irreversible

23
Q

asbestosis + smoking

A

lung CA x 59

24
Q

silicosis classification

A

chronic : simple or complicated

25
Q

chronic simple silicosis

A

hilar node calcification (eggshell pattern), small round opacities (silicotic nodules)

26
Q

chronic complicated silicosis

A

progresses after eliminated exposure : tachypnea and prolonged expiration

27
Q

Sam Silicosis

A

male, miner, indeterminate age, smoker, eggshell calcification

28
Q

sam silicosis has elevated risk of ?

A

TB

29
Q

sarcoidosis

A

multisystem inflammatory dz with unknown etiology

30
Q

noncaseating granulomas a/w

A

sarcoidosis

31
Q

PE of sarcoidosis

A

fever, anorexia, arthralgias, DOE, cough, erythema nodusum

32
Q

erythema nodusum a/w

A

sarcoidosis

33
Q

sarcoidosis PFTs

A

restrictive

34
Q

CXR of sarcoidosis

A

bilateral symmetric hilar and right paratracheal mediastinal adenopathy (most common pattern)

35
Q

sarcoidosis lab findings

A

hyperCa, high ESR, high serum protein, elevated ACE in 60%

36
Q

elevated serum ACE

A

sarcoidosis

37
Q

sally Sarcoidosis

A

female, african american, 30ish, non-smoker, hilar adenopathy, she is an ACE

38
Q

wegener’s granulomatosis

A

immune mediated systemic vasculitis, glomeroulonephritis

39
Q

75% of these pt have renal involvement

A

wegener’s granulomatosis

40
Q

rhinorrhea with purulent/bloody nasal discharge

A

wegener’s granulomatosis

41
Q

PFT shows both obstructive and restrictive pattern

A

wegener’s granulomatosis

42
Q

CT findings of wegener’s granulomatosis

A

irregular and stellate-shaped peripheral pulmonary arteries (vasculitis sign)

43
Q

lab findings of wegener’s granulomatosis

A

elevated ESR, leukocytosis, thrombocytosis, cormocytic anemia, elevated BUN/Cr, + ANCA

44
Q

positive ANCA a/w

A

wegener’s granulomatosis

45
Q

Will wegener’s granulomatosis

A

male or female, 40-50ish, upper airway symptoms √ the nose, goes to AA (+ANCA), vasculitis, renal

46
Q

most common of 7 idiopathic interstitial pneumonias

A

idiopathic pulmonary fibrosis (IPF)

47
Q

Dx of IPF

A

after excluding other causes of ILD

48
Q

digital clubbing is seen in 20-50% of

A

IPF

49
Q

CXR of IPF

A

bilateral diffuse reticular or reticulonodular infiltrates, periphery and bases

50
Q

patchy basilar infiltrates

A

HRCT of IPF

51
Q

PFTs of IPF

A

restrictive

52
Q

dx of IPF

A

lung biopsy

53
Q

Ivan IPF

A

male, 60ish, a common man, smoker

54
Q

most common indication for lung transplant

A

IPF

Clin Med II-Pulmonary (7 decks)

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