Pneumoconiosis Flashcards

1
Q

Define Pneumoconiosis?

A

Fibrosing interstital lung disease caused by chronic inhalation of mineral dusts

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2
Q

What are the diffferent types of Pneumoconiosis?

A

Simple
Complicated
Asbestosis

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3
Q

What is simple Pneumoconiosis?

A

Coalworker’s Pneumoconiosis or silicosis (symptom-free)

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4
Q

What is Complicated Pneumoconiosis?

A

Pneumoconiosis results in loss of lung function

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5
Q

What is Asbestosis?

A

A Pneumoconiosis in which diffuse parenchymal lung fibrosis occurs as a result of prolonged exposure to asbestos

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6
Q

What is the aetiology of Pneumoconiosis?

A

Caused by inhalation of particles of:
Coal Dust
Silica
Asbestos

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7
Q

What are the risk factors of Pneumoconiosis?

A

Occupational Exposure:

  • Coal mining
  • Quarrying
  • Iron and steel foundries
  • Stone cutting
  • Sandblasting
  • insulation industry
  • plumbers
  • ship builders
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8
Q

What is the risk of Pneumoconiosis dependent on?

A

Extent of exposure and the size/shape of particles

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9
Q

What are some co factors that can also contribute to Pneumoconiosis?

A

Smoking

TB

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10
Q

What is the epidemiology of Pneumoconiosis?

A

Incidence is increasing in developing countries

Disability and mortality from asbestosis will continue to increase for the next 20-30 yrs

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11
Q

What is very important to ask about in the histroy of Pneumoconiosis?

A

Occupational History

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12
Q

How is Asymptomatic Pneumoconiosis picked up?

A

Routine CXR

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13
Q

What are some of the presenting symptoms of Pneumoconiosis?

A

Insidious onset shortness of breath
Dry cough
Black sputum (melanoptysis)
Pleuritic Chest Pain

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14
Q

Where do we tend to see Black Sputum for Pneumoconiosis?

A

Produced occasionally in coalworker’s Pneumoconiosis

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15
Q

Where do we tend to see Pleuritic Chest Pain for Pneumoconiosis?

A

Due to acute asbestos pleurisy so seen in patients exposed to asbestos

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16
Q

What are the signs of Pneumoconiosis?

A

Examination may be normal
Signs of Coalworker’s Pneumoconiosis and silicosis?
Signs of Asbestosis
Signs of pleural effusion of right heart failure

17
Q

What are the signs of Coalworker’s Pneumoconiosis and silicosis?

A

Decreased breath sounds

18
Q

What are the signs of Asbestosis in Pneumoconiosis?

A

End-inspiratory crepitations

Clubbing

19
Q

What are the signs of Pleural Effusion or right heart failure in Pneumoconiosis?

A

Cor Pulmonale

20
Q

What do we see on CXR for Simple Pneumoconiosis?

A

Micronodular mottling

21
Q

What do we see in Complicated Pneumoconiosis?

A

Nodular opacities in upper loves
Micronodular shadowing
Eggshell calcification of hilar lymph nodes (characteristics of silicosis)
Bilateral lower zone reticulonodular shadowing and pleural plaques (in asbestosis)

22
Q

What do we see on a CT scan for Pneumoconiosis?

A

Fibrotic changes can be visualised early

23
Q

Why do we do a Bronchoscopy for Pneumoconiosis?

A

Allows visualisation and bronchoalveolar lavage

24
Q

What do we see on Lung Function Tests for Pneumoconiosis?

A

Restrictive pattern