Industrial Dust Diseases

Question 1

what is coal workers pneumoconiosis

Answer 1

due to inhalation coal dust particles over 15-20y. ingested by macrophages which die and release enzymes leading to fibrosis

Question 2

what is coal workers pneumoconiosis

Answer 2

due to inhalation coal dust particles over 15-20y. ingested by macrophages which die and release enzymes leading to fibrosis

Question 3

features coal workers pneumoconiosis

Answer 3

mainly asymptomatic. co existing chronic bronchitis.

Question 4

CXR coal workers pneumoconiosis

Answer 4

many round opacities (upper zone)

Question 5

what can CWP lead to due to progression

Answer 5

progressive massive fibrosis

Question 6

signs progressive massive fibrosis

Answer 6

progressive dyspnoea, fibrosis, cor pulmonale

Question 7

CXR PWF

Answer 7

upper zone fibrotic masses

Question 8

caplans

Answer 8

RA, pneumoconiosis, pulmonary rheum nodules

Question 9

what is silicosis

Answer 9

silica is fibrogenic. jobs- sand blasting, stone quarrying

Question 10

features silicosis

Answer 10

progressive dyspnoea, incr TB

Question 11

CXR silicosis

Answer 11

diffuse military or nodular pattern, egg shell calcification hilar nodes.

Question 12

what is the most fibrogenic particle in asbestosis

Answer 12

crocidolite (blue)

Question 13

which is the least fibrogenic particle in asbestosis

Answer 13

chrysolite (white)

Question 14

features asbestosis

Answer 14

progressive dyspnoea, clubbing, fine end crackles, incr risk adenocarcinoma and mesothelioma

Question 15

what is malignant mesothelioma

Answer 15

tumour of mesothelial cells in the pleura. occupational exposure to asbestos

Question 16

features malignant mesothelioma

Answer 16

chest pain, dyspnoea, weight loss, clubbing, recurrent effusion, met disease signs- lymphadenopathy, hepatomegaly, bone pain/tenderness, abdo pain/obstruction

Question 17

tests MM

Answer 17

CXR/CT, bloody pleural fluid

Question 18

diagnosis MM

Answer 18

histology, autopsy

Question 19

management MM

Answer 19

pemetrexed + cisplatin. surgery. pleurodesis

Question 20

what is pleurodesis

Answer 20

artificially obliterating the pleural space

Question 21

prognosis MM

Question 22

features coal workers pneumoconiosis

Answer 22

mainly asymptomatic. co existing chronic bronchitis.

Question 23

CXR coal workers pneumoconiosis

Answer 23

many round opacities (upper zone)

Question 24

what can CWP lead to due to progression

Answer 24

progressive massive fibrosis

Question 25

signs progressive massive fibrosis

Answer 25

progressive dyspnoea, fibrosis, cor pulmonale

Question 26

CXR PWF

Answer 26

upper zone fibrotic masses

Question 27

caplans

Answer 27

RA, pneumoconiosis, pulmonary rheum nodules

Question 28

what is silicosis

Answer 28

silica is fibrogenic. jobs- sand blasting, stone quarrying

Question 29

features silicosis

Answer 29

progressive dyspnoea, incr TB

Question 30

CXR silicosis

Answer 30

diffuse military or nodular pattern, egg shell calcification hilar nodes.

Question 31

what is the most fibrogenic particle in asbestosis

Answer 31

crocidolite (blue)

Question 32

which is the least fibrogenic particle in asbestosis

Answer 32

chrysolite (white)

Question 33

features asbestosis

Answer 33

progressive dyspnoea, clubbing, fine end crackles, incr risk adenocarcinoma and mesothelioma

Question 34

what is malignant mesothelioma

Answer 34

tumour of mesothelial cells in the pleura. occupational exposure to asbestos

Question 35

features malignant mesothelioma

Answer 35

chest pain, dyspnoea, weight loss, clubbing, recurrent effusion, met disease signs- lymphadenopathy, hepatomegaly, bone pain/tenderness, abdo pain/obstruction

Question 36

tests MM

Answer 36

CXR/CT, bloody pleural fluid

Question 37

diagnosis MM

Answer 37

histology, autopsy

Question 38

management MM

Answer 38

pemetrexed + cisplatin. surgery. pleurodesis

Question 39

what is pleurodesis

Answer 39

artificially obliterating the pleural space

Question 40

prognosis MM