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8 Cards in this Set
- Front
- Back
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Discuss the different components of taking a patient history.
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1. Presenting complaint
2. Elaborate on presenting complaint 3. Systemic history 4. Other illnesses 5. Medication 6. Social history 7. Occupational history 8. Family history |
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Describe what is meant with interstitial lung disease.
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It refers to lung disease characterized by diffuse shadowing on the chest X-ray.
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What are the most important causes of diffuse parenchymal lung disease ?
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1. Infections
2. Cardiovascular causes 3. Malignancy 4. Collagen-vascular disease 5. Pneumoconiosis 6. Drugs 7. Extrinsic allergic alveolitis 8. Granulomatous conditions 9. Eosinophilic lung disease 10. Vasculitis 11. Idiopathic conditions |
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Discuss the approach to patient with diffuse parenchymal lung disease.
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1. History
2. Physical examination 3. Blood tests 4. Lung function testing 5. Imaging- (CxR and HRCT) 6. Bronchoscopy and BAL 7. Histology |
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Discuss the different elements of the history of a patient with diffuse parenchymal lung disease.
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Symptoms include progressive dyspnoea and cough. Previous medical history of cardiac disease, malignancies and collagen vascular disease. Drugs and smoking as part of social history. Occupational exposure is important for pneumoconiosis.
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Which signs will you find during the general examination of a patient with diffuse parenchymal lung disease ?
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General:
1. Cyanosis 2. Clubbing 3. Rashes 4. Joint abnormalities Chest: Inspiratory crackle. Cardiovascular: Signs of cor pulmonale. |
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Describe the pattern on the flow-volume loop of a patient with DPLD.
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It has a restrictive pattern with a decrease in residual volume.
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You have done a lung biopsy on a patient with signs and symptoms suggestive of DPLD. How would you interpret the following findings ?
1. Increased neutrophils 2. Increased lympocytes 3. Increased eosinophils |
1. Infections and IPF
2. Sarcoidosis and hypersensitivity pneumonitis 3. Eosinophilic conditions |
