Pulmonary In-Class

Question 1

Renal failure with volume overload breath sounds

CHD sounds

Answer 1

Crackles, dyspnea and cough

Can cause clubbing but will also be cyanotic

Question 2

Basilar reticular intersittial markers

Mid and upper nodular opacities

Answer 2

IPF and rheumatoid

Pneumoconiosis or sarcoidosis

Question 3

Rheumatoid pleural effusion

Answer 3

Thick, discolored and low pH

More often in males with subcutaneous nodules

Question 4

Lupus pernio

Answer 4

Sarcoidsosis

Hypercalcemia due to inc 1-hydroxylation activity by macrophages…increase 1,25-OH vit D and produces kidney damage

Question 5

Coal workers pneumoconiosis/silicosis

Asbestosis

Answer 5

Asbestosis can mimic IPF

Coal worker and silicosis are nodular

Sandblasting, hard rock mining and gem polishing for sliiicosis

Question 6

Types of paradoxial breathing

Hoove rsign

Answer 6

Hoover - inf chest inward - hyperexpansion

Paradoxial - chest goes out and abdomen comes in

Reverse paradoxial - chest goes in and abdomen out (lower cervical lesions)

Question 7

Metastatic lung cancer

Answer 7

Not rare for lung cancer to present with seizures

Question 8

Relapsing polychondritis

Answer 8

Saddle nose deformities

Ear inflammation

Laryngeal edema so might get stridoer

Question 9

Blasto

Answer 9

Think broad based budding yeast

Can mimic SCC

Genitourinary involvement is not uncommon