Syndromes and other shit Flashcards

1
Q

What does SLE stand for?

A

Systemic lupus erythematosus

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2
Q

What is SLEß

A

Multi-systemic autoimmune disease

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3
Q

What occurs in SLE?

A

Autoantibodies are made against variety of auto antigens (anti-nuclear antibody)

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4
Q

How do SLE autoantibodies cause damage?

A

Immune complex deposition and complement activation

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5
Q

What are the clinical features of SLE?

A

ANA and DNA in 60% +ve
Malar rash in 50%
ESR raised but CRP normal

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6
Q

What is ESR (blood test)?

A

Erythrocyte sedimentation rate

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7
Q

What is Churg-Strauss Syndrome?

A

Triad of adult onset asthma, eosinophilia and vasculitis (vasospasm/MI/DVT)

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8
Q

Churg strauss affects which tissues?

A

Lungs
Heart
Skin

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9
Q

What kind of syndrome may occur in Churg-Straussß

A

Systemic inflammatory response syndrome - glomerulonephritis especially if ANCA +ve

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10
Q

What is ANCA?

A

Auto-neutrophil cytoplasmic autobody

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11
Q

What are investigation features of Churg-Strauss?

A

pANCA positive
Eosinophilic infiltrate
Granulomas

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12
Q

What is Caplan’s Syndrome?

A

Multiple lung nodules in coal workers with rheumatoid arthritis

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13
Q

What causes Caplan’s syndrome?

A

Inflammatory reaction to anthracite (silica, asbestos)

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14
Q

What is seen on CXR with Caplan’s Syndrome?

A

Bilateral peripheral nodule

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15
Q

What is Goodpasteur’s Syndrome?

A

Acute glomerulonephritis and lung symptoms

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16
Q

Which lung symptom is associated with Good pasture’s syndrome?

A

Haemoptysis

17
Q

What is found histopathologically in Good-pasture’s syndrome?

A

Antiglomerular basement membrane antibodies

18
Q

What is found on CXR with Good Pasture’s syndrome?

A

Infiltrates due to pulmonary haemorrhage (lower zones)

19
Q

What is Wegener’s Granlomatosis?

A

Necrotising granulomatous inflammation and vasculitis of small and medium vessels

20
Q

What is seen on CXR with Wegener’s Granulomatosis?

A

Fluffly infiltrates of pulmonary haemorrhage

21
Q

What would be found in blood tests for Wegener’s Granulomatosis?

A

cANCA raised

Raised CRP/ESR

22
Q

Which characteristic rash is found in SLE?

A

Butterfly rash

23
Q

SLE predominantly affects?

A

Women

24
Q

Management of Wegener’s Granulomatosis requires?

A

Long term immunosuppression

25
Q

Wegener’s Granulomatosis has two components. Name these.

A

Granulomatosis

Polyangitis

26
Q

What is polyangitis?

A

Inflammation of multiple blood or lymph vessels

27
Q

What is the other term for Wegener’s Granulomatosis?

A

Granulomatosis with Polyangitis (GPA)

28
Q

What does ACOS stand for?

A

Asthma COPD Overlying Syndrome

29
Q

What is ACOS?

A

COPD with eosinophilia