Restrictive Thoracic Disease

Question 1

What does CPC mean?

Answer 1

Core Presenting Complaints

Question 2

What are the symptoms of Asthma

Answer 2

Cough, shortness of breath and acute and chronic inflammation.

Question 3

What other things are looked at in CPCs in asthma?

Answer 3

Physiology, prescribing, principles of drug therapy and evidence based medicine.

Question 4

What are the causes Thoracic restriction out with the lungs?

Answer 4

Skeletal, Muscle weakness, abdominal obesity and

Question 5

What are the 5 different areas of spectrum for diffuse parenchymal lung disease (DPLD)?

Answer 5

1. Acute diffuse parenchymal lung disease.
2. Episodic diffuse.
   arenchymal lung disease
3. Chronic diffuse. parenchymal lung disease due to occupation or enviromental agesnts or drugs.
4. Chronic diffuse parenchymal lung disease with evidence of systemic disease.
5. diffuse parenchymal lung disease with no evidence of systemic disease

Question 6

What causes restrictive thoracic disease within the disease of alveolar structures?

Answer 6

Alveolar walls/lumen (lung parenchyma)

Question 7

What are the causes of restrictive thoracic disease in pathophysiology?

Answer 7

Impared alveolar gas exchange

Question 8

What could cause consolidation of alveolar air spaces?

Answer 8

Infective pneumonia, Infarction, and bronchiolitis Obliterans Organizing Pneumonia (BOOP).

Question 9

What is the disease of alveolar structures in restrictive thoracic disease?

Answer 9

Lung parenchyma - aveolar walls/lumen

Question 10

pathophsiology in restrictive thoracic disease?

Answer 10

Impared alveolar gas exchange - alveolar barrier to O2 exchange
- CO2 exchange unimpaired alveolar ventilation normal

Question 11

There is also three causes of DPLD - ___ in alveolar spaces.
________ due to raised Pulmonary venous pressure.
_______ - Normal pulmonary venous pressure with leaky pulmonary capillaries due to sepsis or trauma.

Answer 11

DPLD - FLUID in alveolar spaces.
CARDIAC PO OEDEMA due to raised Pulmonary venous pressure.
NON CARDIAC PO OEDEMA - Normal pulmonary venous pressure with leaky pulmonary capillaries due to sepsis or trauma.

Question 12

What diseases cause consolidation of alveolar air space?

Answer 12

Infective pneumonia
Infacrtion
Other causes - Bronchiolitis Obliterans Organizing Pneumonia.

Question 13

What disease causes inflam infiltrate of alveolar walls?

Answer 13

Extrinsic allergic alveolitis, 
Sarcoidosis,
Drug indiced alveolitis,
Toxic gas/fumes,
Pulmonary fibrosis,
Autoimmune.

Question 14

What diseases can are a part of dust disease?

Answer 14

Fibrogenic

Non-fibrogenic

Question 15

What diseases are a part of carcinomatosis

Answer 15

Lymphatic/blood spread

Question 16

What diseases cause Eosinophillic disease?

Answer 16

Drugs, fungal, parasites, autoimmune, nitrofurantoin, aspergillosis.

Question 17

What are the clinical symptoms of DPLD?

Answer 17

Breathless on exertion
Cough but no wheeze
Finger clubbing
Inspiratory lung crackles
Central cyanosis
Pulmonary fibrosis.

Question 18

What is important about pulmonary fibrosis as a symptoms of DPLD?

Answer 18

Occurs at end stage responce to chronic inflammation.