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Pulm Case 1
Pulm Case 1
10
Medical
Graduate
05/17/2014

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Cards

Term
What will be seen on CT with asbestosis?
Definition
Calcified plaques with “rounded atelectasis”
-mass-like lesion
-”comet tail” swirling towards hilum
-”base” of atelectasis usually has pleural plaque
Term
What cancer manifests in the pleura with asbestis?
Definition
mesothelioma
Term
Does smoking increase the risk of mesothelioma in a person with high asbestis exposure?
Definition
NO
Term
Does smoking increase the risk of LUNG CANCER in someone with asbestis exposure?
Definition
YES!
smoking + asbestos have a
Synergistic risk
Term
What is BAPE?
Definition
Benign asbestos pleural effusion
Term
How will BAPE clinically manifest?
Definition
shortest latency of all asbestos-
Related pulmonary complications
-present with chest pain, fever,
Dyspnea
-Exudative effusion
-50% hemorrhagic
-25% eosinophilic
Term
How is asbestosis indentified?
Definition
Usual interstitial pneumonia (UIP pattern) on CT, plus significant asbestos exposure
History
Term
What is the pattern on CT for Usual Intersitial Pneumonia?
Definition
-”UIP pattern”: basilar-predominant, sub-pleural, heterogenous, thickened septae,
Honeycomb change, traction bronchiectasis, and minimal ground glass opacities
Term
What is CTD associated UIP?
(CTD = Connective Tissue Disease)
Definition
UIP on CT + Evidence of connective tissue disease (RA, MCTD, scleroderma)
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