LA pulm-pneuoconioses Flashcards
quarry work/ granite, slate, quartz, pottery, sandblasting
silicosis
eggshell calcifications of hilar and mediastinal nodes
multiple small opacities in upper lobes
silicosis
caplan syndrome
coal workers pneumocosis plus RA
CXR: small nodules in upper lung with hyperinflation of lower lobes in obstructive pattern
coal workers
what resembles emphysema
coal workers
coal workers pft
obstructive
working with medals, aerospace, electronics, ceramics, tool & dye, fluorescent lighting
berylliosis
berylliosis pft
restrictive
what is similar to sarcoidosis
berylliosis
CXR: hilar lymphadenopathy, increased interstitial markings
berylliosis
from nitrogen dioxide gas exposure released from plant matter; also seen in combustion exposure
silo filler disease
bx: noncaseating granulomas
berylliosis and sarcodosis
what drug to give if corticosteroids fail
methotrexate
what is associated with an increased risk of lung, stomach, and lung cancer
berylliosis
cotton exposure, textile industry, flax/hemp dust exposure
byssinosis
monday fever
byssinosis. symptoms worse at the beginning of week then improve later
asbestosis sx seen how long after exposure
15-20 years
insulation, ship building, fire resistant products, old building renovation/destruction
asbestosis
bibasilar crackles on exam
asbestosis
shaggy heart
indistinct heart border, asbestosis
pleural plaques lower lobes
asbestosis
pft asbestosis
restrictive. nml or increased ratio, nml or decreased FVX, decreased lung volumes
bx linear asbestos bodies/ferruginous bodies
asbestosis
complications of asbestosis
bronchogenic carcinoma and malignant mesothelioma of pleura
infected birds
psittacosis, parrot fever
psittacosis, parrot fever tx
tetracyclines first line. macrolides
CXR: atypical pneumonia, lobar changes, ground glass opacities
psittacosis, parrot fever
psittacosis, parrot fever dx test
serologic testing for microimmunoflourescent antibody
do not order a culture