Transplant/Surgery

Question 1

BOS

Answer 1

Main manifestation of chronic rejection
Treatment with azithro 
Defined as allograft dysfunction with persistent decline in FEV1
CXR clear
Mosiacism on CT
Bronchiectasis
May not be seen on TBBx
In 50% at 5 years out
Risk factors - acute rejection, graph dysfunction, GERD, CMV

Question 2

Lung Reduction Surgery

Answer 2

• FEV1 > 20%
• non homogenous distribution of emphysema
• <75 years old
• good shape but exercises limited
• upper lobe predominant emphysema