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5 Cards in this Set
- Front
- Back
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What is the radiographic study of choice to Dx PE?
With which set of presenting sx should you consider PE? |
Contract-enhanced CT
dyspnea, hemoptysis, CXR is useless except that it lets you rule out mimics like pneumonia, etc. |
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If you see a wedge shaped infarct in the lung, what should you think?
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PE
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What are the types of PAH?
- most common? Radiological findings? Pathology? At which point are the changes irreversible? |
Sporadic Primary PH: Idopathic, young adults
Familiar primary PH: Autosomal Dom Secondary PH: Identifiable cause of increased pulmonary blood flow and/or ^ Resistance - most common Non-specific Medial hypertrophy -> intimal proliferation --> intimal fibrosis --> plexiform vascular lesions Plexiform lesions |
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Is Wegener's Granulomatosis treatable? Natural hx w/o tx?
Clincal sx? Radiology? Pathology? Dx tests? Tx? |
yes
Death cough, hemoptysis, pleuritis CXR shows multifocal nodular infiltrates ***Multisystem: - necrotizing - granulomatous - vasculitis ^^^^remember these three! Elevated C-ANCA in >85% of pts w/ active dz... also PR3 antigen cyclophosphamide & steroids - important to confirm the dx with serology because we're using such toxic agents to tx. |
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Pts with which dz will frequently show hemosiderin-laden macrophages in lung tissue indicative of prior hemorrhage?
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Wegener's Granulomatosis
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