Occupational Diseases Flashcards
True or false: Tobacco smoking is the number #1 cause of preventable death in the US?
True
What fraction of smokers who continue to smoke will die from it?
1/2
What risk of developing lung cancer in about (__)x higher in male smokers, and (__)x higher in female smokers?
23x for males
13x for females
How many adults die d/t lung CA in the US each year as a result of second hand smoke?
3400
What is the most common occupational lung disease in the US?
asthma
What percent of adults in the US have a diagnosis of asthma?
7.5%
What is the best way to diagnose occupational asthma?
History–improvements over long breaks or weekends
What are the two types of occupational asthma?
- Asthma with latency (immunologic)
- Without latency (Reactive airway dysfunction syndrome)
What test can you order to determine if a patient’s airway is reactive? What is the use of this with occupational asthma?
Methacholine challenge
Can see if there is hyperreactivity of the airway
What indicates a positive test in a methacholine challenge?
FEV1 drops by 20% at less than PD20
What are the objective tests for occupational asthma?
Pre and post shift monitoring of lung function (spirometry)
What percent of COPD is attributable to occupation?
15%
What are the common causes of occupational COPD?
Inorganic/organic dust exposure
What percent of E-cigs contain diacetyl or acetyl propionyl
75%
What is popcorn lung/flavorings lung disease?
Bronchiolitis obliterans caused by diacetyl (flavoring component of butter)
What is hypersensitivity pneumonitis?
A spectrum of granulomatous, interstitial, and alveolar filling lung diseases that result from repeated inhalation of and sensitization to a wide variety of organic dusts