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17 Cards in this Set
- Front
- Back
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Three disease that you think of with bilateral lymphadenopathy.
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1. Sarcoid
2. Lymphoma 3. Granulomatous disease |
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If you have a gas-exchange abnormality, is it a pulmonary or non-pulmonary problem?
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Pulmonary.
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Sarcoidosis treatment.
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Steroids. Or anti-
Prednesone, azothiaprin, remicaide, methotrexate - anti-cancer drug used for anti-inflam? |
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Will bilateral hilar lympadenopathy go away after sarcoidosis treatment?
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No - that will stay, nobody knows why
Look at chest x-ray and monitor dyspnea, etc. |
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Does sarcoid need treatment?
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70% of sarcoid does not need treatment. 20-25% will need treatment
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Most people's O2 sat should not go below what?
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95%
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How low does someone's O2 sat need to be before you give them an oxygen tank?
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88%
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What is the false negative rate for the Manteau test?
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25% false negative rate.
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What is anergy?
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A lack of immune response. Indicates general immunosuppressive state.
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What is a "common" (but not really common) source of Histoplasmosis?
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Pigeon feces (need a LOT of feces)
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(extra credit)
What is one of the little known hallmarks of sarcoid? |
Anergy!
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(extra credit)
To what type of specialist should you send someone with sarcoid? |
To the opthamologist! Sarcoidosis can cause blindness.
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If you think of sarcoid, what disease should you think of along with it?
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Lymphoma!
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What is a test that is specific for extrapulmonary disease?
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The Maximum Inspiratory Pressure (MIP) test.
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What are the two patterns of ALS?
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Either starts from the legs and goes up or starts from the throat and goes down.
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In giving supportive care for ALS, what is something that you want to try to prevent?
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Aspiration and resultant pneumonia, respitory infections
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How do you treat ALS?
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There is no treatment
There is a drug called ariliotec that slows the progress of the disease. Can use a cough-assist device Pt might need nocturnal breathing support because we all hypoventilate at night. |
