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24 Cards in this Set
- Front
- Back
all ILDz have these sx's in common
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1) dyspnea
2) dry cough |
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the only ILDz that may have a productive cough is...
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silicosis
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clue: bilateral hilar LAD
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sarcoid
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clue: sx's of ILDz with Diabetes insipidus
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histriocytosis X
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clue: URI, LRI, glomerulonephritis
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Wegners
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clue: asthma, rash, ***eosinphilia, pulm infiltrate
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Churg Strauss
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clue: nodular peribronchial fibrosis
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silicosis
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clue: fever, ***eosinophilia, ***periph pulm infiltrates
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eosinophilic PNA
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which ILD'z can look like sarcoid?
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1) Sarcoidosis
2) Histiocytosis X 3) Silicosis |
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all ILDz's can be treated with corticosteroids/glucocorticoids
1) which rx with plasmapheresis? 2) which rx with cyclophosphamide? 3) which rx with removal from exposre? |
1) Goodpastures
2) Goodpastures 3) Silicosis, Hypersensitivity pneumonitis |
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does Hypersensitivity pneumonitis present with eosinphilia?
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no???
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clue: fever, ***pleuritic chest pain, ***hemoptysis, ***diffuse infitrates (2)
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radiation pneunonitis, PE
(but PE may also have petechiea, AMS, dyspnea) **PE CXR may show atelectasis (diffuse infiltrates) or BE NORMAL!!! |
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causes of radiation pneumonitis
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irradiation for lung cancer, breast cancer, lymphoma, thymoma
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clue: eosinophilic GRANULOMA (localized to bone or lung)
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Histiocytosis X
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Churg Strauss and Eosinophilic PNA have alot in common.
One subtle difference is... |
Churg strauss: pulm infiltrates
Eos PNA: PERIPH pulm infiltrates |
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4 general causes of PNA with eosinophilia
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1) meds
2) bacteria 3) environment 4) parasites |
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meds that cause PNA with eosinophils in lungs only (NOT systemic eos)
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1) phenytoin
2) ampicillin 3) daptomycin 4) L-tryptophan 5) Ibuprofen 6) Nitrofurantoin "meds PADL IN eos to lungs" |
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bacteria that cause PNA with eosinophils in lungs only (NOT systemic eos)
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chlamydia pneumoniea
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environmental factors that cause PNA with eosinophils in lungs only (NOT systemic eos)
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cigarette smoke
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parasites that cause PNA with eosinophils in lungs only (NOT systemic eos)
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1) Necator Americanas
2) Ancylostoma 3) Strongyloides 4) Schistosomiasis 5) Ascaris "NASSA" |
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when parasites cause PNA with eosinophils in lungs only (NOT systemic eos) this is called....
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Loeffler's syndrome
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P.I.E. syndrom
(pulmonary infiltrates with eosinophilia in periphery) |
1) Aspergillosis
2) Churg-Strauss 3) Loeffler's synd (NASSA) |
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lung granuloma containing eosinophils
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Histiocytosis X
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causes of massive systemic Eosinophila
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1) Neoplasm
2) Allergies/Asthma 3) Addison's 4) Collagen Vasc Dz 5) Parasites "NAACP" |