Pulmonary Manifestations of Systemic Disease Flashcards

1
Q

Patients with ALS and other neurodegenerative disorders can have difficulty _________ due to uncoordinated pharyngeal muscles.

A

swallowing

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2
Q

Those with chest-wall weakness will have _______ on radiograph.

A

low lung volumes

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3
Q

Respiratory patterns of those with neuromuscular weakness are usually __________.

A

decreased TLC and increased RV

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4
Q

Again, rheumatoid arthritis presents with a ________ distribution.

A

symmetric

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5
Q

Joint pain due to rheumatoid arthritis usually improves with ________.

A

activity

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6
Q

List some of the pulmonary manifestations of rheumatoid arthritis.

A
Pleura: effusion, thickening, pleuritis
Pneumothorax
Obstructions: upper airway and bronchiectasis
Infections due to immunosuppression
Pneumonia (UIP in particular)
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7
Q

List the pulmonary manifestations of sickle cell disease.

A

Acute chest syndrome
Bone marrow emboli
Pulmonary hypertension
Lung infarctions with subsequent hypoventilation

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8
Q

Neurodegenerative disorders can lead to __________.

A

nocturnal hypoventilation, weak cough, inadequate ventilation, and trouble swallowing

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9
Q

Those with ALS can have reduced FVC when ___________.

A

supine

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10
Q

What are three pulmonary treatments given to those with ALS?

A

Positive-pressure ventilation
Cough assistance
Aspiration precautions

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11
Q

Which test is more specific for rheumatoid arthritis, rheumatoid factor or anti-cyclic citrullinated antibodies?

A

ACA

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12
Q

What rheumatoid conditions have a prominent pulmonary component?

A
SLE
RA
Sjogren's
Dermatomyositis/polymyositis
Ankylosing spondylitis
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13
Q

What diseases can be associated with renal and pulmonary symptoms?

A
SLE
GPA
Microscopic polyangiitis
Systemic sclerosis
Goodpasture's
Churg-Strauss
Henoch-Schonlein purpura
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14
Q

What pulmonary diagnoses are associated with inflammatory bowel disease?

A
Bronchiectasis
Bronchiolitis
Tracheobronchitis
Sublottic stenosis
Interstitial lung disease
Pulmonary embolism
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