THORACIC Section 13: Systemic Flashcards

1
Q

Collagen Vascular Disease Pulmonary Manifestations

More pleural effusions and pericardial effusions than with other connective tissue disease

A

Lupus

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2
Q

Collagen Vascular Disease Pulmonary Manifestations

Fibrosis is uncommon. Can get a “shrinking lung.”

A

Lupus

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3
Q

Collagen Vascular Disease Pulmonary Manifestations

Looks like UIP and COP. Lower lobes are favored.

A

Rheumatoid Arthritis

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4
Q

Collagen Vascular Disease Pulmonary Manifestations

Reticulations with or without honeycombing, and consolidative opacities which are organizing pneumonia

A

Rheumatoid Arthritis

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5
Q

Collagen Vascular Disease Pulmonary Manifestations

NSIP > UIP; lower lobe predominant findings.

A

Scleroderm

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6
Q

Collagen Vascular Disease Pulmonary Manifestation

Dilated fluid filled esophagus.

A

Scleroderma

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7
Q

Collagen Vascular Disease Pulmonary Manifestation

Lymphoid interstitial pneumonia

A

Sjogrens

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8
Q

Collagen Vascular Disease Pulmonary Manifestation

Extensive ground glass attenuation with scattered thin walled cysts.

A

Sjogrens

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9
Q

Collagen Vascular Disease Pulmonary Manifestation

Upper lobe fibrobullous disease

A

Ankylosing Spondylitis

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10
Q

Collagen Vascular Disease Pulmonary Manifestation

Usually unilateral first, then progresses to bilateral.

A

Ankylosing Spondylitis

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11
Q

Rheumatoid Arthritis + Upper Lobe Predominant Lung Nodules.

A

Caplan Syndrome

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12
Q

The nodules in this syndrome can cavitate and may have pleural effusion

A

Caplan Syndrome

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13
Q

This is a progressive loss of lung volume in both lungs seen in patients with Lupus

A

“Shrinking Lung”

“S”hrinking “L”ung of “SLe”

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14
Q

Most common manifestation of SLE in Chest

A

Pleurifis with/without pleural effusion.

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15
Q

This is seen in liver patients with the classic history of “‘shortness o f breath when sitting up.’”

A

Hepatopulmonary syndrome

Opposite of CHF

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16
Q

What Happens in Hepatopulmonaryu Syndrome?

A

Distal vascular dilatation in the lung bases (Subpleural telangiectasia) + dilated subpleural vessel (Doesnt taper)

17
Q

What is the classic tirad of Wegener Granulomatosis (Granulomatosis with Polyangitis)

A

Upper tract, lung, and kidneys (rare)

Lung 95%

18
Q

Most common presentation of Wegener Granulomatosis

A

Nodules with cavitation in random distribution (half of them cavitating)

GG changes with hemorrage

19
Q

Diagnosis?

A

Wegener Granulomatosis

20
Q

Autoimmune Pulmonary renal syndrome favoring young men

A

Goodpasture Syndrome

21
Q

Bilateral coalescent opaciteis that look like edema (but are hemorrhage)

A

Goodpasture Syndrome

22
Q

What can occure from recurring episodes of bleeding in Goodpasture Syndrome?

A

Pulmonary hemosiderosis wiht iron deposition seen as small, ill-defined nodules