Hypersensitivity Pneumonitis And Pneumoconiosis

Front 1

What is Hypersensitivity Pnumonitis?

Back 1

inflammation of the lungs d/t
breathing in a foreign substance.

Front 2

What are the risk factors to Hypersensitivity Pneumonitis?

Back 2

exposure to antigens --> alveolar thickening and granulomas

Front 3

What is the antigen that causes Farmer's lung?

Back 3

Actinomycetes spores from moldy hay.

Front 4

What is the antigen that causes Bird fancier's lung?

Back 4

Ag from feathers, excreta, serum

Front 5

What is the antigen that causes Mushroom worker's lung?

Back 5

Actinomycetes spores from compost

Front 6

What is the antigen that causes Malt worker's lung?

Back 6

Aspergillus clavatus spores in grain

Front 7

What is the antigen that causes Grain hangler's lung?

Back 7

Grain weevil dust

Front 8

What is the antigen that causes Bagassois?

Back 8

Actinomyctes spores from sugarcane

Front 9

What is the antigen that causes Air conditioner lung?

Back 9

Actinomycetes spores from ACs

Front 10

What are the sxs of Acute Hypersensitivity Pneumonitis?

Back 10

1. Dyspnea
2. Fever
3. Malaise
4. Shivering
5. Cough starting 4-6 hrs after exposure

Front 11

What are the sxs of Chronic Hypersensitivity Pneumonitis?

Back 11

1. Progressive dyspnea
2. fine bilateral rales

Front 12

what test is used to dx Hypersensitivity Pneumonitis?

Back 12

CXR (normal or shows miliary nodular infiltrate in acute HP)
CXR (Fibrosis seen in upperlobes in chronic HP)

Front 13

How do you Tx Hypersensitivity Pneumonitis?

Back 13

1. Avoid exposure to inciting agents
2. Steroids

Front 14

What is Pneumoconiosis?

Back 14

occupational lung disease and a restrictive lung disease caused by the inhalation of dust.

Front 15

What are the 4 different types of Pneumoconioses?

Back 15

1. Asbestosis
2. Coal mine dz
3. Silicosis
4. Berylliosis

Front 16

a pt working in tile manufacturing, or brake lining, insulation, construction, demolition or shipbuilding is at risk of which pneumoconioses?

Back 16

Asbestos

Front 17

What does the CXR show in a pt w/ Asbestosis?

Back 17

1. Linear opacities @ lung bases and interstitial fibrosis
2. Calcified pleural plaques indicate benign pleural dz

Front 18

What are the Cx of Asbestosis?

Back 18

inc risk of mesothelioma and lung cancer. risk of lunc cancer higher in smokers

Front 19

A pt working in undergrownd coal mines is at risk of which pneumoconioses?

Back 19

Coal mine dz

Front 20

How do you dx Coal Mine dz?

Back 20

1. CXR: Small nodular opacities (<1cm) in upper lung zones
2. Spriometry: Restrictive lung dz pattern

Front 21

What are the Cx of Coal Mine Dz?

Back 21

Progressive Massive fibrosis

Front 22

a pt working in mines or quarries or w/ glass, pottery, or silica is at risk of which Pneumoconioses?

Back 22

Silicosis

Front 23

How do you dx Silicosis?

Back 23

CXR: small (<1cm) nodular opacities in upper lung zones. Eggshell Calcifications
Spirometry: restrictive lung dz pattern

Front 24

What are the Cx of Silicosis?

Back 24

1. inc risk of TB (get annual TB skin test)
2. Progressive masssive fibrosis

Front 25

A pt working in high-tech fields such as aerospace, nuclear, and electronics plants; ceramics industries, foundries; plating facilites, dental material sites; and dye manufacturing is at risk of which pneumoconioses?

Back 25

Berylliosis

Front 26

How do you dx Berylliosis?

Back 26

CXR: Diffuse infiltrates; hilar adenopathy

Front 27

How do you tx Pneumoconiosis?

Back 27

Supportive Therapy and supplemental oxygem