WlwG Lung (Adult) Flashcards by WlwG W

ILD causes: Centrilobular

RBILD or HSP

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ILD causes: Perilymphatic (subpleural + peribronchovascular)

Sarcoid, Lymphangitis, Silicosis

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ILD causes: Random distribution

LIP, LCH, Miliary TB

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Organisms in pneumonia without volume loss

Lobar pneumonia (Strep usually, Kleb in Etoh/debilitated)

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Organisms in bilateral pneumonia

Bronchopneumonia (Staph in adult, Haemophilis in child/immunocompromised)

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Organisms in peri-bronchial or diffuse pneumonia

Viral (Influenza in adult, CMV in neonate/immunocompromised, Mycoplasma in autoimmune)

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ILD causes: Septal thickening

Lymphangitis, Pulmonary oedema

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ILD causes: Honeycombing

UIP, RA, Sarcoid

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ILD causes: Smoking related

LCH (upper zone), UIP (lower zone), RBILD (bronchial wall thickening/dilation), DIP (upper and lower)

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ILD causes: Bronchiolitis related - Diffuse distribution

Diffuse distribution:
Pan-bronchiolitis = Haemophilus/Pseudomonas. Diffuse centrilobular tree-in-bud nodules, mosaic attenuation with expiratory air trapping, Thickened/dilated bronchi

Lower distribution:
Follicular Bronchiolitis = RA & Sjogren. Dilated bronchi, centrilobular GGO

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ILD causes: Bronchiolitis related - Lower lobe distribution

Diffuse distribution:
Pan-bronchiolitis = Haemophilus/Pseudomonas. Diffuse centrilobular tree-in-bud nodules, mosaic attenuation with expiratory air trapping, Thickened/dilated bronchi

Lower distribution:
Follicular Bronchiolitis = RA & Sjogren. Dilated bronchi, centrilobular GGO

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Organism from oral infection

ActinoMycosis

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AIDS organisms: GGO + cysts

Pneumocystis

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AIDS organisms: Lung and CNS involvement

Cryptococcus

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AIDS organisms: Lung and skin involvement

Kaposis

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AIDS organisms: Lung with LN involvement

Non-hodgkin lymphoma

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AIDS organisms: Lung with necrotic LN and effusion

Mycobacteria

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Solitary spiculated nodule in periphery dx

AdenoCa (smoker or non-smoker) (“A thus spiculated”)

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Aggressive tumour with mets, paraneoplastic syndromes

Small cell ca (“Little fighter”)

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Pancoast tumour

Small cell ca (“Little fighter”)

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Mass with cavitations, bilateral LN

Squamous cell ca

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Cancer with septal thickening, subpleural nodules

Lymphangitis

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Unresectable lung tumour T4 N3 M1 meaning?

T4 = Invasion of diaphragm/mediastinum/carina or nodules in DIFFERENT lobe. Note: Invasion of chest wall/pleura/pericardium or multiple nodules in same lobe is T3 and is resectable.
N3 = Contra-lateral LN

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Mnemonic for upper ILD

“Upper body, so Large space BREAASTS usually suck them silly”
(“CDGGCDD”)
LCH = Cyst/cav
Berrylosis = noD
RBILD = Ggo (“Rebuild the DIP pool while smoking without bros or honey”)
EAA = Ggo
AS = Cyst/cav
Aspergillosis/Sarcoid/TB = noD
Silly-cosis = opacities

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Upper ILD: Smoking, PTX, cavitating nodule, child

LCH (SPACES = Smoking, PTX, Apical, Cavitating nodules, Child, Eosinophilia, Skull)

LCH signs

LCH (SPACES = Smoking, PTX, Apical, Cavitating nodules, Child, Eosinophilia, Skull)

Upper ILD: Smoker, centrilobular GGO, no bronchiec/honeycombing

RBILD

Upper ILD: Centrilobular GGO, air trapping

EAA/Hypersensitivity pneumonitis

Upper ILD: Fibrobullous and emphysema

Ank Spond

Upper ILD: Central solid nodule with surrounding GGO

Aspergilosis (Halo sign, Hypersensitive/asthma/CF = ABPA, Immunocompromised = Invasive, Normal pt = Non-invasive)

Upper ILD: Subpleural/perilymphatic nodules

Sarcoid

Upper ILD: Raised serum ACE

Sarcoid

Upper ILD: Apical cavitations in poor/old/etoh/HIV, no bronchiectasis

Reactivation TB

What is Ranke complex in TB?

Calcifications from healed TB

What is Ghon complex in TB?

Regional necrotic lymph node ("ghON = NOde")

Upper ILD: Apical cavitations with bronchiectasis

Non-TB Mycobacterium in COPD (TB no bronchiectasis)

Upper ILD: Perilymphatic mass-like opacities with calcifed LN

Silicosis

Upper ILD: Diffuse mass-like opacities with calcified LN

Progressive massive fibrosis

Diffuse ILD: Mnemonic?

“COP DAALE” ("CDGGCCG") COP = Cop noD-ggo DIP = Ggo Acutes = Ggo/consolidation Alveolar batwing LIP = Cyst/ggo LAM = Cyst/cav Eosinophilic = ggo/peripheral consolidation

Diffuse ILD: Peribronchovascular Central GGO with surrounding consolidation after flu

COP (reverse halo/atoll sign)

Diffuse ILD: COP relations

COP (reverse halo/atoll sign) after flu Cystic fibrosis, Connective tissue disorders, Transplant

Diffuse ILD: Centrilobular GGO, no bronchiectasis or honeycombing, smoker

DIP (progression of RBILD)

Diffuse ILD: Consolidation sparing costophrenic angles after flu

AIP

Diffuse ILD: Rapidly deteriorating, consolidation without pleural effusion after insult

ARDS

Diffuse ILD: Bilateral central symmetrical crazy paving opacities

Alveolar Proteinosis (bat-wing pattern)

Diffuse ILD: GGO with cysts in Sjogrens/autoimmune disease

LIP ("Sjogrens = dry lips")

Diffuse ILD: Cysts with pleural effusion +/- PTX

LAM (espc tuberous sclerosis)

Diffuse ILD: Peripheral GGO/consolidation

Eosinophilic pneumonia (reverse pulmonary oedema pattern)

Lower ILD: Mnemonic?

“A Lower Leg RUNSSS” ("CDGGG") A1AT = Cysts/emphysema RA = noD + Ggo/consolidation UIP = HRCT NSIP = Ggo (subpleural sparing) Sclero = Ggo (NSIP + crest) SLE = Sleffusion aSbesStoSiS = Pleurals

Lower ILD: honeycombing, reticulation, consolidation

Lower ILD: Honeycombing, reticulation, apicobasillar gradient

Definite UIP (HRCT U = Honeycombing, Reticulation, Clubbing, Traction bronch, U-shape), Not responsive to steroids

Lower ILD: Smoker

Definite UIP (HRCT U = Honeycombing, Reticulation, Clubbing, Traction bronch, U-shape), Not responsive to steroids

Lower ILD: Reticulation, apicobasillar gradient, no honeycombing

Probably UIP

Lower ILD: Bilateral symmetric GGO with subpleural sparing

Cellular NSIP

Lower ILD: Bilateral symmetric reticulation with subpleural sparing

Fibrotic NSIP

Lower ILD: Calcinosis, Raynauds, Esophageal dysmotility, Sclerodactyly, Telangiectasia

Systemic sclerosis/Scleroderma (NSIP with CREST syndrome)

Lower ILD: Pleural effusion, Pericardial effusion, Pleural thickening

SLE (SLEffusions)

Lower ILD: Pleural plaques, pleural effusion, pleural calcs

Asbestosis (Pleurals)

Lower ILD: Sand like micro-calcs

Pulmonary alveolar micro-lithiasis

Lower ILD: Emphysema with liver cirrhosis

Alpha-1-Anti-Trypsin deficiency

Lung transplant, difference between hyperacute rejection vs reperfusion injury vs acute rejection vs chronic rejection

Hyperacute: <1 day with diffuse homogeneous infiltration Reperfusion: <1 week with pulmonary oedema Acute: <1 month with GGO and septal thickening Chronic: >3 months with bronchiectasis, air trapping

Pneumonia relations: Steroid use

TB or fungal

Pneumonia relations: Young with autoimmune conditions (Stevens-Johnson, Haemolytic anaemia, meningoencephalitis)

Mycoplasma

Pneumonia relations: COPD

Non-TB mycobacterium

Pneumonia relations: IVDU

Staph

Pneumonia relations: Nursing home

Klebsiella

Pneumonia relations: Alcoholic

Klebsiella, Aspergillosis, Aspiration pneumonia

Pneumonia relations: Migrant

Pneumonia relations: Cystic fibrosis

Salmonella or Pseudomonas

Pneumonia relations: Ventilator/ICU

Pseudomonas

Pneumonia relations: Transplant pt

Aspergillosis

Pneumonia relations: Bronchopneumonia in child/immunocompromised

Haemophilus

Pneumonia relations: HIV

PCP, TB, CMV

Pneumonia relations: HIV with GGO/PTX/cysts

PCP

Pneumonia relations: Consolidation with abscess

E. coli

Pneumonia relations: Chest wall involved

Pneumonia relations: Dental procedure, chest wall involved

Actinomycosis

Pneumonia relations: Multiple tiny nodules

TB, Histoplasmosis, Sarcoid, Silicosis

Pneumonia relations: Multiple nodules of varied sizes

Mets

Pneumonia relations: Calcs

Varicella, Histoplasmosis, TB, Schistosomiasis, Silicosis

Pneumonia relations: Immunocompromised with cavitations

Nocardia/Alveolar proteinosis

Pneumonia relations: Low sodium

Legionnaires

Pneumonia relations: Bird/bat faeces

Histoplasmosis

Pneumonia relations: Drink mineral/vegetable oil

Lipoid pneumonia

Pneumonia relations: Calcifications in solid organs

Amyloidosis

What is Carney triad vs Carney syndrome?

CarnaGe Gang = pulmonary Chondroma + Gastric (GIST if Triad, Sarcoma if Syndrome) + paraGanglioma

Pneumonia relations: Right middle lobe tree-in-bud nodules and bronchiectasis

Mycobacterium avium complex (MAC)

Lung cancer: Lymphangitis carcinomatosis primary tumours?

Breast > GIT > Pancreas Ca