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Geriatrics > Interstitial Lung Disease > Flashcards

Interstitial Lung Disease Flashcards

1
Q

Describe the main symptoms that are typical of interstitial lung diseases

A

dyspnea on exertion and cough with abnormal radiographic findings

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2
Q

What is the interstitium

A

connective tissue in the lungs between the alveolar air sacs & the capillaries supplying them
- basement membrane, connective fibrous tissue

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3
Q

Describe the etiology and pathophys of idiopathic pulmonary fibrosis

A
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4
Q

Describe the clinical presentation of idiopathic pulmonary fibrosis

A
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5
Q

Describe the diagnostic testing for IPF

A
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6
Q

Describe the treatment for IPF

A
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7
Q

Describe the etiology of systemic sarcoidosis

A
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8
Q

Describe the clinical presentation of systemic/acute sarcoidosis

A
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9
Q

Describe the diagnostic testing for systemic sarcoidosis

A
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10
Q

Describe the prognosis & treatment for systemic sarcoidosis

A
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11
Q

Describe the etiology of asbestos pneumoconiosis

A
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12
Q

Describe the clinical presentation of asbestos pneumoconiosis

A
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13
Q

Describe the diagnostic testing for asbestos pneumoconiosis

A
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14
Q

Describe the etiology of coal workers pneumoconiosis

A
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15
Q

Describe the clinical presentation of coal workers pneumoconiosis

A
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16
Q

Describe the diagnostic testing for coal workers pneumoconiosis

A
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17
Q

Describe the treatment for coal workers pneumoconiosis

A
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18
Q

Describe the etiology of silicosis

19
Q

Describe the clinical presentation of silicosis

20
Q

Describe the diagnostic testing for silicosis

21
Q

Describe the treatment for silicosis

22
Q

Describe the etiology of drug induced lung disease

23
Q

Describe the clinical presentation of drug induced lung disease

24
Q

Describe the diagnostic testing for drug induced lung dz

25
Q

Describe the treatment for drug induced lung dz

A

stop the med

26
Q

Describe the etiology & presentation of radiation lung toxicity

27
Q

What is the treatment for radiation lung toxicity

A

corticosteroids

28
Q

What is on the differential for abnormal breath sounds in the upper lobes

A

sarcoidosis & silicosis

29
Q

What is on the differential for abnormal breath sounds in the lower lobes

A

Idiopathic pulmonary fibrosis

30
Q

What is on the differential for adventitious sounds

A
  • sarcoidosis (wheezing)
  • Idiopathic pulmonary fibrosis (velcro rales)
  • asbestos (rales)
31
Q

What is on the differential for abnormal CXR findings in the upper lobes

A

sarcoidosis & silicosis

32
Q

What is on the differential for abnormal CXR findings in the lower lobes

A

idiopathic pulmonary fibrosis & asbestosis

33
Q

What is the most common and most serious ILD

A

insidious pulmonary fibrosis

34
Q

What is one characteristic physical exam finding of IPF

A

velcro rales

35
Q

What is the primary diagnostic tool for IPF

A

CT (biopsy is gold standard but it is invasive)

36
Q

What is the only intervention with proven benefit for IPF

A

lung transplant

37
Q

2 skin findings for sarcoidosis

A

erythema nodosum, lupus pernio

38
Q

CXR and lung sound findings in sarcoidosis are found in which lobes

39
Q

What treatment should an asymptomatic pt with bilateral hilar adenopathy be given

A

none! asymptomatic (corticosteroids if symptomatic)

40
Q

which lung dz is assoc with increased TB infection risk

41
Q

What professions are associated with asbestos exposure

A
  • pipe fitter
  • construction
  • custodians
42
Q

What professions are at risk for silica exposure

A

mines, quarries

43
Q

what are some drugs that can cause lung tox

A

amiodarone, bleomycin, nitrofurantoin, mtx

Geriatrics (34 decks)

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