Parenchymal restrictive lung disorders Flashcards
1
Q
Pulmonary fibrosis- Risk
A
- Exposure to radiation for lung or breast cancer
- Radiation pneumonitis
2
Q
Pulmonary fibrosis- Sx
A
- Asymtomatic to slowly progressive dyspnea
- Bibasilar inspiratory crackles
- Reduced lung volume
3
Q
Pulmonary fibrosis- Dx
A
CXR- obliteration of normal lung markings, dense interstitial and pleural fibrosis, tenting of diaphragm
4
Q
Sarcoidosis- Risk
A
- Women in 3rd-4th decade- black women
- Granulomatous inflammation of lung
5
Q
Sarcoidosis- Sx
A
- Insidious onset of arthralgia, fever & dyspnea on exertion, anorexia
- Erythema nodosum, skin lesions, pigment changes
- Skin, eye, nerve involvement
- Parotid gland enlargement, hepatosplenomegaly, lymphadenopathy
- No crackles
6
Q
Sarcoidosis- Dx
A
- CXR: Bilateral hilar adenopathy and parenchymal involvement
- Histology indicating noncaseating graulomas + clinical presentation
- Elevated ESR, ACE,
7
Q
Sarcoidosis- Tx
A
- Prednisone x 6 months
8
Q
Coal worker’s pneumoconiosis- Risk
A
- Occupational inhalation of coal dust
- Cigarette smoke
9
Q
Coal worker’s pneumoconiosis- Sx
A
- Asymptomatic
- Normal PFT
- Progressive, massive fibrosis of lungs due to macrophages ingesting inhaled coal dust
10
Q
Coal worker’s pneumoconiosis- Dx
A
CXR: Small opacities in upper lung field
11
Q
Coal worker’s pneumoconiosis- Tx
A
Supportive tx
12
Q
Asbestosis- Risk
A
- Nodular, interstial fibrosis due to long term asbestos exposure
- Cigarette smoking
13
Q
Asbestosis- Sx
A
- Progressive dyspnea
- Inspiratory crackles
- Clubbing & cyanosis
- Lower lung involvement
- Reduced diffusion, restrictive defects on PFT
14
Q
Asbestosis- Dx
A
-CXR: linear streaking at base, honeycomb changes, opacities, pleural calcification
15
Q
Asbestosis- Tx
A
None
