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18 Cards in this Set

  • Front
  • Back

etiology of sarcoidosis

unknown- it's an idiopathic inflammatory condition most concentrated in the lung tissue

population most affected by sarcoidosis

African American women

classic presentation of sarcoid

shortness of breath on exertion


occasional fine rales on lung exam but with no wheezing

classic skin finding for sarcoid

erythema nodosum

what could you see on the face of sarcoid patient?

parotid enlargement or facial palsy

how can sarcoid affect the heart?

can give heart block and restrictive cardiomyopathy

eye findings of sarcoidosis

iritis


uveitis

classic CXR finding in sarcoid?

bat wings- hilar adenopathy on CXR

best initial test for sarcoidosis

chest x ray

how sensitive is hilar adenopathy?

it's present in about 95% of pts actually

the most accurate test for sarcoidosis

lymph node biopsy

classic histopath finding with sarcoid?

shows non-caseating granulomas

great lab test for dx of sarcoid

elevated ACE level- present in about 60% of patients

what electrolyte abnormality do you see with sarcoidosis?

hypercalcemia

why hypercalcemia?

because the granulomas produce Vitamin D

What does a bronchoalveolar lavage show for sarcoidosis?

shows elevated level of helper T cells

medication of choice for sarcoid mgmt

prednisone

What is the mgmt if you find hilar adenopathy incidentally and the patient is asymptomatic?

you don't need to treat it