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16 Cards in this Set
- Front
- Back
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***interstitial lung ds:
PFT |
**restrictive pattern ("witch's hat")
- dec TLC - FEV/FVC -> nL - dec DLCO |
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***idiopathic pulmonary fibrosis
1. MC type of 2. demograph |
1. MC type of Idiopathic interstitial pneumonias (IIP)
2. M>F; *****mean age 66 yoa -> ds of old people***** |
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***Wegener's granulomatosis (WG)
2 triads |
***1. focal necrotizing vasculitis -> necrotizing granulomas in pulm -> necrotizing glomerulonephritis
***2. classic triad |
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***classic triad of WG
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1. upper airway
- perforation of nasal septum - chronic sinusitis - otitis media - mastoiditis - **saddle-nose** 2. lower airway - cough -> dyspnea - hemoptysis 3. kidneys - hematuria |
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***WG:
labs |
***C-ANCA (anti-proteinase-3)
- sed rate - anemia |
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***WG:
tx |
a. combo therapy
-***cyclophosphamide + prednisone - remission 75-100% b. alternative - prednisone -> daily - MTX -> weekly c. remission - azothiprine -> day - MTX -> week |
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***Churg-Strauss (CS)
1. classic triad*** |
1. allergic rhinitis
2. severe asthma 3. eosinophilia |
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***CS
1. HRCT |
a. parenchymal consolidation
b. bilat nodules c. ground-glass opacity d. **vary with time** |
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***CS
1. dx 2. how is it different from WG |
1. ***P-ANCA
2. ***WG is C-ANCA |
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***CS
tx |
1. ***prednisone only -> day
2 +/- benefit of cyclophosphamide 3. ***if pt dx w/ CS, an answer choice that has prednisone + cyclophosphamide or cyclophosphamide alone is WRONG 4. ***CS -> prednisone only 5. ***WG -> prednisone + cyclophosphamide |
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***pneumoconiosis
- silicosis |
- inc risk of TB
- ***upper lungs -> "egg shell" hilar nodes -> pathoneumonic for silicosis*** |
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***pneumoconiosis
- hypersensitivity pneumonitis tx |
***tx - stop exposure***
- corticosteroids -> speed initial recovery |
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**interstitial lung ds:
- types - clinical |
- >150 names types
- progressive dyspnea -> insidious onset - non-prod cough - abnL CXR - abnL PFTs |
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**interstitial lung ds:
- initial eval: hx |
occupational:
- chronological listing w/ duties - exposures to dust, gas, etc ****degree-> duration -> latency |
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**interstitial lung ds:
- physical |
- crackles
--fine --mild -> end inspiration - **clubbing - cyanosis - look for underlying disorders |
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THE REST OF NOTE SERVICE FOR STUFF THAT WASNT HIGH YIELD/TQ
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