Respiratory Lung Diseases Flashcards
What does a spirometer measure
The amount of air you can breathe out in one second and the total volume of air you can exhale in one forced brath
Vital Capacity
The maximum amount of air that can be expelled from the lungs
Causes of restrictive lung disease (Nerve or muscle)
amyotrophic lateral sclerosis
Causes of restrictive lung disease (bone) (3)
Kyphoscoliosis
Ankylosing spondylitis
Thoracoplasty
Causes of restrictive lung disease (other) (2)
Sub-diaphragmatic
Pregnancy
Where is the institium
Between the alveolus and capillaries
Features of sarcoidosis
Non-caseating granuloma
Erythema Nodosum
Investigation for saroidosis (4)
History and exam
CXR
Pulmonary function test
Blood/urinalysis/ECG/TB skin test/ eye exam
Further assessment for sarcoidosis (3)
Bronchoscopy
Mediastinoscopy
VATS
Treatment for Sarcoidosis (2)
NSAIDs- erythema nodosum and joint pain
Systemic steroids- hypercalcaemia and no response to topical Rx for cardiac, neuro or eye disease
Prognosis for sarcoidosis
Permanent pulmonary or extra-pulmonary complications Progressive respiratory failure Bronchiectasis Aspergilloma Haemoptysis Pneumothorax
Typical presentations of Idiopathic Pulmonary Fibrosis (5)
Chronic breathlessness Cough 60-7 year old common in men Failed treatment for LVF or infection Clubbed and crackles
Options of IPF (2)
Median survival is 3 years
Oral anti-fibrotic (Pirfenidone, Nintedanib, Palliative care)
Causes of Hypersensitivity Pneumonitis (6)
Bacteria Mycobacteria Fungi and moulds Proteins Chemicals Inability to shut down inflammation in lung institium
Diagnosis of Hypersensitivity Pneumonitis (8)
Blood tests BAL CT Inhalation challenge test Lung bx LFT Precipitin test CXR