Cs - Interstitial Lung Disease

Front 1

_ can be distinguished from many other forms of interstitial lung disease by its acute onset, response to steroids that occurs in many patients, and relatively good prognosis.

Back 1

BOOP
Bronchiolitis obliterans organizing pneumonia

Front 2

_ is a chronic scarring process which results in progressive obliteration of the small airways with resultant lung disease

Back 2

Bronchiolitis obliterans

Front 3

_ is when transient or migratory pulmonary infiltrates with blood eosinophilia

Back 3

Loffler’s syndrome:

Front 4

What are the classic laboratory findings in Wegener's granulomatosis?

Back 4

+ANCA antibodies, + antidboides to proteinase 3

This is found in young or middle aged adulrs, and it's when granulomatous inflammation results in patchy necrosis in the arteries and veins of the lung

Front 5

Jo-1 HIGHLY associated with _ and _

Back 5

inflammed muscles and ILD (Polymyositis)

CXR reveals...

Hint 5

Basilar fibrosis, diffuse interstitial and alveolar infiltrates

Front 6

Rheumatoid Arthritis
Systemic Lupus Erythematosis
Systemic Sclerosis
Polymositis
...all cause fibrosis of _
What is the one disorder that doesn't?

Back 6

the lower lung

Ankylosing spondylitis which causes upper lung fibrosis

Front 7

Drug Induced ILD is _, often with _ in the blood.
You may hear _ upon auscultation, and PFTs reveal _

Back 7

reversible
eosinophilia
crackles (pleural rub)
restrictive defect

Front 8

The classical CXR of sarcoidosis shows _.

Another syndrome that would also have those would be _

Back 8

hilar adenopathy

lofgren syndrome

Front 9

The best way to diagnosis sarcoidosis is a _

It is caused by _

Back 9

biopsy


unknown etiology but we know T cells overreact and cause ILD (reticular nodular pattern)

Front 10

Sarcoidosis is a _ disease, and clinical characteristics include _

Back 10

inflammatory granulomatous disease

granulomas pretty much everywhere, erythema nodosum, hypercalcemia,

Front 11

What are the 3 mechanisms responsible for illness in interstitial lung disease?

Back 11

1) Injury
2) Inflammation
3) Scarring

Front 12

When ILD is presented to you, what should you automatically do?

Back 12

look for other diseases

Front 13

What is a Bronchoalveolar lavage? When is it used?

Back 13

samples cells and fluid from distal airways. It is required in ILD and hemoptysis, and it checks cell count, cytology, etc

Front 14

What is a PFT you need to order specially for ILDs?

Back 14

Diffusing Capacity for Carbon Monoxide

Front 15

An abnormal CXR in an ILD is most likely in what pattern?

Back 15

Reticular

can also be nodular or mixed.

* Just because CXR is normal doesn't mean they don't have ILD

Front 16

If a CXR comes back normal on a dyspneic patient, what should you do next?

Back 16

Order a high resolution CT

Front 17

The typical ILD patient has _, and a _ cough.

Back 17

progressive dyspnea on exertion. Many have a persistant non productive cough

Front 18

Patient comes in to your office, upon CXR you find he has transient pulmonary infiltrates with blood eosinophilia. What organism is likely responsible for this?

Back 18

Ascaris lumbricoides

Pulmonary infiltrates with eosinophilia