Term
|
Definition
Shipyard worker for 18 years, has dyspnea and non-productive cough.
CXR- Calcified lesions on diaphragm
Physical: Bilateral basilar crackles
What do they have? |
|
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Term
|
Definition
| Occupational lung disease caused by inhalation of dust. |
|
|
Term
Asbestos
Coal Workers Disease
Silicosis |
|
Definition
| 3 examples of Pneumoconiosis |
|
|
Term
| occur as fibers, either straight (most dangerous due to being easier to deposit) or curved |
|
Definition
| Describe Asbestos particles: |
|
|
Term
| when they are airborn and inhaled due to renovations. Disease is associated with long-term exposure. |
|
Definition
| When are asbestos particles most dangerous? |
|
|
Term
SHIP AND BOAT BUILDERS
Mining, construction, plumbing
Electricians, Insulation, breakline
NAVY |
|
Definition
| Which individuals should be screened for asbestos? |
|
|
Term
Pulmonary Function Tests
CXR:
3-5 years for <10 year exposure
1-2 years for > 10 year exposure
ANNUAL FOR >20 YEAR EXPOSURE |
|
Definition
| How are individuals screened for Asbestos? (2) And when should they be tested? |
|
|
Term
| Affects lung function and increases risk of pneumothorax due to thickening of pleura. NOT CANCEROUS |
|
Definition
| When happens when the pleura is affected by asbestos? |
|
|
Term
| 5-20 years after chronic exposure |
|
Definition
| How long does it take asbestosis to occur? |
|
|
Term
| DECREASES DLCO (diffusion capacity) |
|
Definition
| Asbestos inflammation causes scarring and stiffening of the lung which (increases or decreases) DLCO? |
|
|
Term
Dyspnea
Nonproductive cough
clubbing and cyanosis-late signs
chest pain-not common |
|
Definition
| Major Symptoms of Asbestosis? |
|
|
Term
Bilateral basal reticulonodular infiltrates
Shaggy Heart ground glass appearance |
|
Definition
|
|
Term
Pleural Plaques
Basilar interstitial Fibrosis (scarring)
Fine and coarse honeycombing
rounded atelectasis
pleural adhesions |
|
Definition
|
|
Term
Usually restrictive pattern
Decreased TLC and DLCO |
|
Definition
| Pulmonary function test findings? |
|
|
Term
| Rarely, but only if accelerated clinical course and you will find asbestos bodies |
|
Definition
| When does a patient need a biopsy with asbestosis and what are the findings? |
|
|
Term
| Tachycardia, and right heart failure |
|
Definition
|
|
Term
NO SMOKING
O2
pulmonary rehab
resection of bronchogenic carcinoma |
|
Definition
|
|
Term
| No drugs really work. Control other conditions such as COPD. |
|
Definition
| pharm management of asbestos |
|
|
Term
|
Definition
| Synergy between asbestos and _____exposure causes 59x more risk of cancer |
|
|
Term
|
Definition
| Cancer of the lining of the lung and chest cavity due to asbestos? |
|
|
Term
|
Definition
| Is Mesothelioma found in the pleural or peritoneal more often? |
|
|
Term
30-50 years to develop
Rapidly fatal 75% after 1 year.
Smoking does not increase risk |
|
Definition
| How long does it take mesothelioma to develop and what is the prognosis? |
|
|
Term
smoking
environmenta/occupational exposure
CT diseases |
|
Definition
| What are some other risk factors for common interstitial lung diesease? |
|
|
Term
Progressive Dyspnea on exertion and non-productive cough
Hemoptysis or fatigue
Clubbing/cyanosis
Inspiratory squeks
If you suspect a systemic disease:
ACE: sarciodosis
CANCA: wegners
PANCA: churg strauss
Antiglomerular basement membrane antibody: GoodPasture
Serum Precipitating AB: Hypersensitivity Pneumonitis |
|
Definition
| What are the physical exam findings associated with interstitial lung diseases? |
|
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Term
|
Definition
| Most common pneumocosis in USA |
|
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Term
|
Definition
| 36 y/o African american female complaining of exertional dyspnea, dry and non productive cough |
|
|
Term
|
Definition
| Ceramic workers get this: |
|
|
Term
Radiology: Bilateral symmetric hilar adenopathy of upper lung zone reticular opacities
Physical: Raynaud's
Lab: elevated ACE and hypercalcemia |
|
Definition
|
|
Term
|
Definition
| Heliotrope rash with Gottron's Sign: what condition? |
|
|
Term
|
Definition
| Cafe la spots found in what condition? |
|
|
Term
|
Definition
| cANCA postive, Radiology shows ill defined nodule with an air bronchogram due to hemorrhage and necrosis |
|
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Term
|
Definition
Patient has nasal polyps and asthma
pANCA positive |
|
|
Term
|
Definition
| Patient has a history of pulmonary and urinary complaints and Labs show antiglomerular basement membrane antibody |
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