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Lung Diseases > Restrictive Lung Disease > Flashcards

Restrictive Lung Disease Flashcards

1
Q

FEV1/FVC in restrictive lung disease

A

Normal

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2
Q

FEV1 in Restrictive lung disease

A

Low

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3
Q

FVC in restrictive lung disease

A

Low

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4
Q

Diffuse Alveolar Damage cause (ACUTE!!!)

A 
Major trauma 
Chemical injury/ toxic inhalation
Circulatory shock 
Drugs
Infection 
Autoimmune disease 
Radiation
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5
Q

Process of DADS

A
  • rapid oedema for 2 days
  • oedema brings lots of proteins which perspitate and stay in the alveoli
  • a fews days later this cause inflammation in the Alveoli.
  • fews days later again, fibrosis occours which causes lots of scarring.

Very dangerous. High mortality

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6
Q

Sarcoidosis

A

A multisystem granulomatous disorder of no know cause

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7
Q

The 3 interstial lung diseases

A

Idiopathic pulmonary fibrosis
Sarcoidosis
Hypersensitivity pneumonitis

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8
Q

What is a restrictive lung disease

A

A disease which reduces the volume of air in the lungs

Vital capacity reduced( volume of full breath in to max exhale). Below 80% of the normal is abnormal

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9
Q

Where is the interstitium

A

Between the alveoli and capillary. Is very small normally

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10
Q

Symptoms of sarcoidosis

A

Can have red sore lesions on skin

Redness on the eyes (inflammation)

Other type of pink, less sore looking lesions

Melanoma looking skin lesions of scalp

Granulomas around areas of skin traumas( surgery scars and tatoos)

Big lesion on nose

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11
Q

Who typically gets sarcoidosis

A

Younger people <40

Female > Male

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12
Q

Type 1 sarcoidosis X ray

A

Swelling of glands

Para-tracheal enlargement

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13
Q

Type 2 sarcoidosis X ray

A

Spots in lungs

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14
Q

Type 3 sarcoidosis X ray

A

More spots

Fibrosis noticeable

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15
Q

Type 4 sarcoidosis X ray

A

Lots of fibrosis

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16
Q

Mild sarcoidosis treatment

A

No treatment

17
Q

Treatment of sarcoidosis if you have erythema nodosum/arthralgia (that’s the red skin lesions)

A

NAIDs (non steroidal anti-imflamitaries)

18
Q

Treatment of sarcoidosis with skin lesions, anterior uveitis( eye inflammation), cough

A

5opical steroids

19
Q

Treatment of sarcoidosis with cardiac, neurological, non topical responsive eye disease, hyper calcaemia

A

Systemic steroids

20
Q

Idiopathic pulmonary fibrosis typical presentation

A 
Chronic breathlessness and cough 
Typically 60-70 years 
Commoner in men 
Clubbed fingers 
CRACKLES!!!!
21
Q

Treatment of ILF

A

Oral antifibrotic drugs (do not cure just slow progression)

If fit enough possible lung transplant

Palliative care

Prognosis is not good

22
Q

Common causes of hypersensitivity pneumonitis

A

Birds
Hay
Malt

Lung Diseases (14 decks)

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