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17 Cards in this Set
- Front
- Back
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what are the causes of restrictive lung disease?
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PAINT:
Pleural Alveolar Interstitial lung disease (Inflammatory, Idiopathic) Neuromuscular Thoracic wall |
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what are the pleural causes of restrictive lung disease?
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fibrosis
effusions empyema pneumothorax |
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what are the alveolar causes of restrictive lung disease?
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edema
hemorrhage pus |
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what are the interstitial and inflammatory causes of interstitial lung disease?
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interstitial: idiopathic pulmonary fibrosis
inflammatory: sarcoid, bronchiolitis obliterans with organizing pneumonia |
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what are some neuromuscular causes of restrictive lung disease?
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myasthenia
phrenic nerve palsy myopathy |
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what are some thoracic wall causes of restrictive lung disease?
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kyphoscoliosis
obesity ascites pregnancy ankylosing spondylitis |
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what are the causes of obstructive pulmonary disease?
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ABCT:
Asthma Bronchiectasis Cystic fibrosis Tracheal or bronchial obstruction |
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what are the features of sarcoid?
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GRUELING:
Granulomas Rheumatoid arthritis (not really rheumatoid) Uveitis Erythema nodosum Lymphadenopathy Interstitial fibrosis Negative TB test Gammaglobluinemia |
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what are the drugs or therapies associated with interstitial lung disease?
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busulfan
nitrofurantoin amiodarone bleomycin radiation LT high O2 concentration (eg. ventilator) |
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what is the classic type of restrictive lung disease? describe the lung findings.
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interstitial lung disease
interstitial thickening of alveolar walls -> dilated terminal/respiratory bronchioles (cystic spaces) |
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what is the hx/PE of patient with interstitial lung disease?
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- shallow, rapid breathing
- dyspnea on exertion - non-productive cough - cyanosis and inspiratory squeaks - fine, velcro crackles - finger clubbing, R heart failure |
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what are 4 causes of interstitial lung disease?
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- idiopathic pulmonary fibrosis
- collagen vascular disease - granulomatous d/o - pneumoconiosis |
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CXR: reticular pattern more pronounced at the bases; honeycomb pattern in severe disease. dx?
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interstitial lung disease
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FEV1/FVC ratio in normal lungs, obstructive disease, restrictive disease?
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nl = 80%
o.d. = <80% r.d. = >80% |
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how do you tx interstitial lung disease?
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supportive therapy and steroids in some cases
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- rheumatologic disease
- non-caseating granulomas - unknown etiology - black females and Norwegians - 3rd or 4th decade of life Disease? |
systemic sarcoidosis
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what is the hx/PE of systemic sarcoidosis? what organs can be involved?
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- fever
- cough - malaise - wt loss - dyspnea - arthritis organs: lungs, liver, eyes, skin (erythema nodosum), nervous system, heart, kidney see GRUELING |
