sarcoidosis Flashcards

1
Q

sarcoidosis

A

systemic granulomatous disease of unknown etiology

non-casseating granumolmas

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2
Q

stats

A

40-69
3.5B:W
W>M

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3
Q

Lofgrens syndrome

A

actue manifestation of disease consisting of erythema nodosum, arthritis, b/l hilar lymphadenopaht
favorable outcomes

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4
Q

erythema nodosum

A

more common in women
red raised hot tender sub Q nodule most common on shins
biopsy not helpful b/c not sarcoid granulomas

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5
Q

arthritis

A

more common in men

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6
Q

general symptoms

A

fatigue, fever, night sweats, weight loss, increased ACE

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7
Q

skin symptoms

A
rash
macules
papules
nodules
hyperpigmentation
hypopigmentation
erythema ndosum
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8
Q

skin signs

A

infiltration of old scars and tattoos
maculopapular lesions of face, neck, upper back, extremitis
lupus pernio of nose, cheeks, ears, lips
erythema nodosum

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9
Q

occuluar symptoms

A

gritty or dry eyes
pain
redness
blurred vision

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10
Q

occular signs

A

uveitis
iritis
scleral plauques
enlarged lacrimal glands

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11
Q

cardiac symptoms

A
arrhythmias
palpitations
near-syncope
syncope
lower extremity edema
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12
Q

nervous system symptoms

A
HA
blurred vsio
numbness
weakness
instabiity
seizures
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13
Q

nervous system signs

A

CNII, VII, VIII
neuropathies
gait instability
weakness

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14
Q

GI

A
epigastric pain
early satiety
RUQ pain
jaundice
heptasplenomegaly
jaundice
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15
Q

MSK

A

swelling and joint stiffness, pain
mm pain
especially knee and ankles

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16
Q

URT

A

nasal congestion
sinus pressue
nasal discharge

17
Q

lymphatics

A

cervical
supraclavicular
inguinal

18
Q

brain granulomas

A

base
hypothalamus
pituitary

19
Q

Ca

A

nephrolithiasis
neprhocalcinosis
hypercalcemia

20
Q

Dx

A

clincial, radiographic, and histo evidence of noncaseating granulomas
biopsy
bronchoscopy w/transbronchial lung biopsy

21
Q

stage 0

A

normal CXR

22
Q

stage 1

A

b/l hilar adenopathy and parenchymal inflitrates

23
Q

stage 3

A

parenchymal infiltrated w/o lymphadenopahty

24
Q

stage 4

A

advanced parenchymal disease w/bribrosis

25
Q

PFT

A

restrictive ventilatory defect
concurrent obstruction
decreased DLCO

26
Q

Tx

A

only if symptomatic

prednisone for 3 months