pneumonthorax / sarcoid

Question 1

what is the criteria for aspiration of pneumonthorax?

Answer 1

primary:
>2cm or symptomatic

Secondary =
small -> chest drain if aspiration fails
large -> chest drain is first line

Question 2

name 6 lung causes of erythema nodosum

Answer 2

Sarcoidosis,
TB
Mycoplasma
Coccidiodmycosis
Histoplasmosis
Blastomycosis

Question 3

lofgren’s syndrome triad

Answer 3

acute presentaiton triad of sarcoidosis:

BHL + erythema nodosum
Fever
Arthorpathy

Question 4

what is the diagnosis for Sarcoid?

Answer 4

Tissue biopsy
Serum ACE
High calcium

Question 5

what is the treatment of sarcoidosis?

Answer 5

spontaneous resolution <90%
prednisolone
chloroquinet

Question 6

which stage of sarcoid:

lung infiltration but no BHL

Answer 6

3

Question 7

which stage of sarcoid:

lung infiltration + BHL

Answer 7

2

Question 8

which stage of sarcoid:

normal CXR

Answer 8

0

Question 9

which stage of sarcoid:

= BHL

Answer 9

1

Question 10

what is Lupus pernio pathopneumonic for?

Answer 10

Sarcoidosis

Question 11

describe lupus pernio

Answer 11

indolent reddish purple plaque and nodule on the nose / cheeks / lips / ears

Question 12

how does histiocytosis x present?

Answer 12

recurrent pneumothoracies, cranial diabetes insipidus,
cystic bone lesions

Question 13

which stage of Sarcoidosis has a good prognosis?

Answer 13

BHL = 1 + 2