Things I got wrong 20/04/2016

Question 1

Treatment of Klebsiella pneumoniae

Answer 1

Carbapenems

Question 2

Atoll sign

Answer 2

Ground glass opacity surrounded by denser tissue on CT.

Question 3

Eosinophillic granuloma of the lung. Pulmonary histocytosis.

Answer 3

May present with pneumothorax. Disease can be identified by chest X-ray. Progressive fever, weight loss, rhinitis are also common.
Often associated with bone cysts that can cause pathological fractures. Diabetes insipidus is strongly involved.

Question 4

Absence of pleural plaques

Answer 4

Asbestos is unlikely

Question 5

Respiratory bronchiolitis associated ILD

Answer 5

Fine reticular opacities. Interstitial thickening. Ground glass opacity however no pleural plaques. This makes asbestosis unlikely.
In scenario patient is likely to present with working in a ship yard etc.

Pathology of the disease- macrophages form clumps in the lungs.
Symptoms- dyspneoa, mild restriction in lung function tests. CAUSED BY SMOKING. ON CESSATION, SYMPTOMS WILL STOP.