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WlwG Old > WlwG Lung (Adult) > Flashcards

WlwG Lung (Adult) Flashcards

1
Q

ILD causes: Centrilobular

A

RBILD or HSP

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2
Q

ILD causes: Perilymphatic (subpleural + peribronchovascular)

A

Sarcoid, Lymphangitis, Silicosis

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3
Q

ILD causes: Random distribution

A

LIP, LCH, Miliary TB

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4
Q

Organisms in pneumonia without volume loss

A

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

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5
Q

Organisms in bilateral pneumonia

A

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

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6
Q

Organisms in peri-bronchial or diffuse pneumonia

A

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

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7
Q

ILD causes: Septal thickening

A

Lymphangitis, Pulmonary oedema

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8
Q

ILD causes: Honeycombing

A

UIP, RA, Sarcoid

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9
Q

ILD causes: Smoking related

A

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

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10
Q

ILD causes: Bronchiolitis related - Diffuse distribution

A

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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11
Q

ILD causes: Bronchiolitis related - Lower lobe distribution

A

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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12
Q

Organism from oral infection

A

ActinoMycosis

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13
Q

AIDS organisms: GGO + cysts

A

Pneumocystis

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14
Q

AIDS organisms: Lung and CNS involvement

A

Cryptococcus

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15
Q

AIDS organisms: Lung and skin involvement

A

Kaposis

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16
Q

AIDS organisms: Lung with LN involvement

A

Non-hodgkin lymphoma

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17
Q

AIDS organisms: Lung with necrotic LN and effusion

A

Mycobacteria

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18
Q

Solitary spiculated nodule in periphery dx

A

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

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19
Q

Aggressive tumour with mets, paraneoplastic syndromes

A

Small cell ca (“Little fighter”)

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20
Q

Pancoast tumour

A

Small cell ca (“Little fighter”)

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21
Q

Mass with cavitations, bilateral LN

A

Squamous cell ca

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22
Q

Cancer with septal thickening, subpleural nodules

A

Lymphangitis

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23
Q

Unresectable lung tumour T4 N3 M1 meaning?

A

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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24
Q

Mnemonic for upper ILD

A

“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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25
Q

Upper ILD: Smoking, PTX, cavitating nodule, child

A

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

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26
Q

LCH signs

A

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

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27
Q

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

A

RBILD

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28
Q

Upper ILD: Centrilobular GGO, air trapping

A

EAA/Hypersensitivity pneumonitis

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29
Q

Upper ILD: Fibrobullous and emphysema

A

Ank Spond

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30
Q

Upper ILD: Central solid nodule with surrounding GGO

A

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

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31
Q

Upper ILD: Subpleural/perilymphatic nodules

A

Sarcoid

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32
Q

Upper ILD: Raised serum ACE

A

Sarcoid

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33
Q

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

A

Reactivation TB

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34
Q

What is Ranke complex in TB?

A

Calcifications from healed TB

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35
Q

What is Ghon complex in TB?

A

Regional necrotic lymph node (“ghON = NOde”)

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36
Q

Upper ILD: Apical cavitations with bronchiectasis

A

Non-TB Mycobacterium in COPD (TB no bronchiectasis)

37
Q

Upper ILD: Perilymphatic mass-like opacities with calcifed LN

A

Silicosis

38
Q

Upper ILD: Diffuse mass-like opacities with calcified LN

A

Progressive massive fibrosis

39
Q

Diffuse ILD: Mnemonic?

A

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

40
Q

Diffuse ILD: Peribronchovascular Central GGO with surrounding consolidation after flu

A

COP (reverse halo/atoll sign)

41
Q

Diffuse ILD: COP relations

A

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

42
Q

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

A

DIP (progression of RBILD)

43
Q

Diffuse ILD: Consolidation sparing costophrenic angles after flu

A

AIP

44
Q

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

A

ARDS

45
Q

Diffuse ILD: Bilateral central symmetrical crazy paving opacities

A

Alveolar Proteinosis (bat-wing pattern)

46
Q

Diffuse ILD: GGO with cysts in Sjogrens/autoimmune disease

A

LIP (“Sjogrens = dry lips”)

47
Q

Diffuse ILD: Cysts with pleural effusion +/- PTX

A

LAM (espc tuberous sclerosis)

48
Q

Diffuse ILD: Peripheral GGO/consolidation

A

Eosinophilic pneumonia (reverse pulmonary oedema pattern)

49
Q

Lower ILD: Mnemonic?

A

“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

50
Q

Lower ILD: honeycombing, reticulation, consolidation

A

RA

51
Q

Lower ILD: Honeycombing, reticulation, apicobasillar gradient

A

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

52
Q

Lower ILD: Smoker

A

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

53
Q

Lower ILD: Reticulation, apicobasillar gradient, no honeycombing

A

Probably UIP

54
Q

Lower ILD: Bilateral symmetric GGO with subpleural sparing

A

Cellular NSIP

55
Q

Lower ILD: Bilateral symmetric reticulation with subpleural sparing

A

Fibrotic NSIP

56
Q

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

A

Systemic sclerosis/Scleroderma (NSIP with CREST syndrome)

57
Q

Lower ILD: Pleural effusion, Pericardial effusion, Pleural thickening

A

SLE (SLEffusions)

58
Q

Lower ILD: Pleural plaques, pleural effusion, pleural calcs

A

Asbestosis (Pleurals)

59
Q

Lower ILD: Sand like micro-calcs

A

Pulmonary alveolar micro-lithiasis

60
Q

Lower ILD: Emphysema with liver cirrhosis

A

Alpha-1-Anti-Trypsin deficiency

61
Q

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

A

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

62
Q

Pneumonia relations: Steroid use

A

TB or fungal

63
Q

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

A

Mycoplasma

64
Q

Pneumonia relations: COPD

A

Non-TB mycobacterium

65
Q

Pneumonia relations: IVDU

A

Staph

66
Q

Pneumonia relations: Nursing home

A

Klebsiella

67
Q

Pneumonia relations: Alcoholic

A

Klebsiella, Aspergillosis, Aspiration pneumonia

68
Q

Pneumonia relations: Migrant

A

TB

69
Q

Pneumonia relations: Cystic fibrosis

A

Salmonella or Pseudomonas

70
Q

Pneumonia relations: Ventilator/ICU

A

Pseudomonas

71
Q

Pneumonia relations: Transplant pt

A

Aspergillosis

72
Q

Pneumonia relations: Bronchopneumonia in child/immunocompromised

A

Haemophilus

73
Q

Pneumonia relations: HIV

A

PCP, TB, CMV

74
Q

Pneumonia relations: HIV with GGO/PTX/cysts

A

PCP

75
Q

Pneumonia relations: Consolidation with abscess

A

E. coli

76
Q

Pneumonia relations: Chest wall involved

A

TB

77
Q

Pneumonia relations: Dental procedure, chest wall involved

A

Actinomycosis

78
Q

Pneumonia relations: Multiple tiny nodules

A

TB, Histoplasmosis, Sarcoid, Silicosis

79
Q

Pneumonia relations: Multiple nodules of varied sizes

A

Mets

80
Q

Pneumonia relations: Calcs

A

Varicella, Histoplasmosis, TB, Schistosomiasis, Silicosis

81
Q

Pneumonia relations: Immunocompromised with cavitations

A

Nocardia/Alveolar proteinosis

82
Q

Pneumonia relations: Low sodium

A

Legionnaires

83
Q

Pneumonia relations: Bird/bat faeces

A

Histoplasmosis

84
Q

Pneumonia relations: Drink mineral/vegetable oil

A

Lipoid pneumonia

85
Q

Pneumonia relations: Calcifications in solid organs

A

Amyloidosis

86
Q

What is Carney triad vs Carney syndrome?

A

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

87
Q

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

A

Mycobacterium avium complex (MAC)

88
Q

Lung cancer: Lymphangitis carcinomatosis primary tumours?

A

Breast > GIT > Pancreas Ca

WlwG Old (22 decks)

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