Respiratory passmedicine Flashcards
Hemithorax whiteout with trachea pulled towards? (3)
Pneumonectomy
Lung collapse
Pulmonary hypoplasia
Hemithorax whiteout with trachea central? (2)
Consolidation
Mesothelioma
Trachea pushed away from whiteout? (3)
Pleural effusion
Diaphragmatic hernia
Large mass in thorax
DDx of cavitating lung lesion on CXR? (5)
Abscess Squamous cell lung cancer Tuberculosis Wegener's granulomatosis Pulmonary embolism
Lung diseases associated with asbestos exposure? (5)
Pleural plaques Diffuse thickening of the pleura Asbestosis (fibrosis) Mesothelioma Lung cancer
What is the most dangerous form of asbestos?
Crocidolite
Rheumatoid complications in the lung? (5)
Pulmonary fibrosis Pleural effusion MTX pneumonitis Infection 2ndry to immunosuppression Pleurisy
Multisystem granulomatous disorder which often presents with dyspneoa and dry cough?
Sarcoidosis
Symptoms of sarcoidosis (6)
Weight loss Malaise Dry cough Dypsnoea Erythema nodosum Polyuria
Why does polyuria occur in sarcoidosis?
Active sarcoid –> hypercalcaemia –> polyuria
CXR in sarcoid?
Bilateral hilar lymphadenopathy
Progressive dypsnoea, dry cough, digital clubbing and fine end-inspiratory crackles?
Idiopathic pulmonary fibrosis
Pulmonary function tests in idiopathic pulmonary fibrosis indicate what kind of defect?
Restrictive pattern
Diagnostic investigation in suspected idiopathic pulmonary fibrosis?
High resolution CT scanning of the thorax
CT thorax findings in idiopathic pulmonary fibrosis?
Changes starting in lung periphery; range from “ground-glass opacification” to fibrotic “honeycomb” pattern