Interstitial lung disease, D Kinder, CIS Flashcards

1
Q

sinusitis, hematuria, hemoptysis

Dx?

A

wegeners

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2
Q

which drugs can cause interstitial lung disease

A

amiodarone, methotrexate

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3
Q

What can amiodarone cause in lung? present as?

A

can cause aRDS or interstitial ung disease
presents like a pneumonia
has foamy laden macrophages

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4
Q
previously healthy 27 y.o increasing DOE
unremarkalbe PE
spirometry normal
CXR show b/l hilar adenopathy
Dx? how do you Dx?
A

sarcoidosis- lung biopsy

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5
Q

what can cause an increase in DLCO

A
either diffuse alveolar hemorrhage
or
polycythemia vera
or 
asthma
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6
Q
22 y.o severe dyspnea
enlarged pulmonary vasculature on CXR
no infiltrates
V/Q scan normal
further testing?
A

R heart catheterization to look for pulmonary HTN

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7
Q

churg strauss can cause what systemic Sx

A

abdominal pain and diarrhea
heart problems
all from systemic vasculitis

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8
Q

healthy male has mild intermittent asthma

what would you expect on PFT

A

20% dec in FEV1 following methacholine test

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9
Q

When thinking silicosis what other lab should you do

A

PPD because silicosis and TB occur together alot

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10
Q

significance of diminished bs base of lungs

A

fluid

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11
Q

low voltage on EKG is significant for what

A

further away, air infront of heart

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12
Q

ship building

A

asbestos

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13
Q

nuclear tech previously Dx with sarcoidosis has normal ACE levels

A

beryllium

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14
Q

Heerdfordts disease

A

variant sarcoidosis
non-suppurative parotitis
uveitis, mild fever and facial nerve paralysis

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15
Q

patient works with polyurethane and has wheezing

A

TDI
toluene di-isosomething
occupational lung disease

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16
Q

sinus inversus is seen in what syndrome

A

kartageners

17
Q

charcot leyden crystals

A

eosinophilia

18
Q

how do you Tx worms/parasite causing pneumonia

A

diethylcarbamazine

19
Q

wucheria bancrofti can lead to what

A

elephantiasis

20
Q

transient attacks of coughing and wheezing with eos in sputum
also has abdominal pain, vomiting
with wheezing: eos increase and has fever then becomes asymptomatic
Dx?

A

loeffler’s syndrome from stronglyoides

21
Q

radiation therapy can lead to what process in lungs

A

pulmonary fibrosis

22
Q

what has elevated p ANCA

A

goodpastures

Churg Strauss

23
Q

on CXR with someone with ARDS what do you expect

A

nastiness
chest tubes and naso-gastric tubes
central lines… etc

24
Q

Silo Fillers Disease

A

nitrogen dioxide turns into nitric acid in lungs

can also burn eyes