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Pulm Pictures > Miscellaneous > Flashcards

Miscellaneous Flashcards

1
Q
A

UIP spatial heterogeneity

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2
Q
A

UIP - temporal heterogeneity with interstitial fibroblastic foci (middle) and old fibrosis

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3
Q
A

Honeycombing UIP

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4
Q
A

NSIP homogeneous fibosis

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5
Q
A

LIP - lymphoid interstitial PNA assoc with Sjogren and HIV

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6
Q

What is this and what’s the arrow as well?

A

Organizing PNA with a fibroblastic foci

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7
Q

Smoker

A

RBILD with hyalinizing fibrosis ie pink

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8
Q
A

Resp bronchiolitis with pigmented macrophages

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9
Q

Smoker ? BAL

A

Pigmented macrophages

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10
Q

Completed R-CHOP 2 months prior

A

Constrictive bronchiolitis

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11
Q

What is this?

A

Mosaic attenuation- obvious in HP

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12
Q

Recent chemo

A

Thick fibrosis bronchial and almost complete destruction of lumen - obliterative/constrictive bronchiolitis

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13
Q
A

Reversed halo sign - peribronchiolar consolidation and GGO. COP/BOOP

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14
Q
A

Patchy organizing PNA with intraluminal fibrosis in bronchioles and airspace. BOOP/COP

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15
Q
A

Subacute HP - diffuse centrilobular GGO nodules

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16
Q
A

RB-ILD pigmented macrophages in resp bronchioles with peribronchiolar lymphocytes & histiocytes

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17
Q

Following chlorine inhalation

A

Constrictive bronchiolitis- Mosaic attenuation. Constriction of pulm vessels. No change with expiration

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18
Q

Pt with BOOP/COP, what is within the intraluminal space?

A

Masson bodies - endoluminal granulation tissue polyps

19
Q

What is this dysnchrony

A

Pt attempting to exhale - pt’s inspiratory neural drive is shorter than set Ti

20
Q

What is going on here?

A

Circuit leak - delivered vol intact but returned vol is less

21
Q

What’s going on here?

A

Airway obstruction eg kink or bronchospasm- loss of delivered vol +slow exp flow. On AC PC

22
Q

Pt in shock in ICU possible pancreatitis - what does this tracing suggest?

A

Abdominal compartment syndrome >12mmHg

23
Q

Vented copd pt uncomfortable… what’s up?

A

Mucus plugging
Kinked tube
Suction cath in ETT

24
Q

Dyspnea x 1 mo, no infection, PMH A fib on amiodarone- what are these?

A

Lipid laden macrophages characteristic on biopsy

25
Q

ANA peripheral rim or diffuse pattern - what disease?

26
Q

Anticentromere antibody - what disease?

A

CREST- Calcinosis, raynauds, esophageal dysmotility, sclerodactyly and teleangiectasia.

Limited cut scleroderma

27
Q

ANA nucleolar pattern - what disease?

A

Polymyositis

28
Q

AntiRo (SSA) &AntiLa (SSB) - what disease?

29
Q

Cytoplasmic antineutrocytoplasmic Ab; cANCA PR3 - what disease?

A

GPA and microscopic polyangitis

30
Q

Perinuclear ANCA and MPO - what disease?

A

EGPA and Microscopic polyangitis

31
Q

Anti PL12 what disease?

A

ILD without myositis

32
Q

Antisynthetas Ab - what disease?

A

Polymyositis and dermatomyositis

33
Q

Anti Ku what disease?

A

Myositis and scleroderma overlap

34
Q

Anti MDA 5 what disease?

A

Dermatomyositis without myositis but with progressive ILD

35
Q

Anti SRP what disease?

A

Severe necrotizing myopathy

36
Q

What is this? Ddx?

A

Crazy paving
Ddx: PAP, Lipoid PNA, ARDS, Silica, PJP PNA, pulm edema, med pneumotox, exac. ILD

37
Q

Periodic acid Schiff stain postive… disease?

A

Pulm alv proteinosis

38
Q

Intraalv deposits of lipoproteinaceous material circumscribed by thickened alv wall with chronic inflam cells & type 2 pneumocyte hyperplasia

39
Q

Negative Predictive Value

40
Q

Specificity

41
Q

Absolute Risk Reduction

42
Q

NNT

43
Q

Relative risk reduction

Pulm Pictures (3 decks)

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