Interstitial and occupational lung disease Flashcards

1
Q

Where does interstitial lung disease effect?

A
  • affects the lung interstitial

alveoli, terminal bronchi

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2
Q

Interstitial lung disease is a _______ pattern

A
  • restrictive pattern
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3
Q

Non-caseating granuloma of unkown aetiology??

A
  • sarcoidosis!
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4
Q

Sarcoidosis is a type ___ hypersensitivity reaction

A
  • type IV

- delayed

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5
Q

Sarcoidosis is less common in smokers

true/false?

A
  • true
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6
Q

What would be seen on a CXR of a patient with sarcoidosis?

A
  • bilateral hilar lymphadenopathy
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7
Q

treatment of sarcoidosis?

A
  • self-limiting

- may need oral steroids

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8
Q

Extrinsic allergic alveolitis is a type _____ hypersensitivity reaction?

A
  • III hypersensitivity
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9
Q

Extrinsic allergic alveolitis is also known as?

A
  • hypersensitivity pneumonitis
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10
Q

Give 2 examples of a hypersensitivity pneumonitis?

A
  • farmers lung
  • malt workers lung
  • bird fanciers
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11
Q

treatment of extrinsice allergic alveolitis?

A
  • oxygen
  • steroid
  • antigen avoidance
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12
Q

Symptoms of idiopathic pulmonary fibrosis

A
  • progressive breathlessness
  • dry cough
  • bilateral fine inspiratory crackles
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13
Q

Asbestos exposure may lead to______

A
  • pulmonary fibrosis
  • bronchial carcinoma
  • mesothelioma
  • pleural effusions
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14
Q

Early stage interstitial disease is characterisied by what?

A
  • alveolitis
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15
Q

Late stage interstitial disease is characterisied by what?

A
  • fibrosis
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16
Q

What are causes of interstitial lung disease?

A
  • radiation
  • minerals
  • drugs
  • unknown (idiopathic)
17
Q

What are the 2 types of biopsys used when diagnosing interstitial lung diseases?

A
  • transbronchial biopsy

- thoracoscopic biopsy

18
Q

Late stage idiopathic pulmonary fibrosis would look like what down the microscope?

A
  • honeycombing
19
Q

What are other systemic effects of sarcoidosis?

A
  • multisystem disease
  • uveitis
  • erythema noodosum
  • lymphadenopathy
20
Q

What causes pneumoconiosis?

A
  • mineral dust
  • absestos
  • coal workers lung
  • silicosis