Term
| what types of material need to be inhaled in order to get occupational lung disease? |
|
Definition
| inorganic dusts (coal, asbestos, copper), organic matter (fungi such as thermophilic actinomycetes), and asphyxiant gases (Cl, methane, ammonia, etc) |
|
|
Term
| what kinds of occupations run the risk of inorganic dust inhalation, increasing pneumoconiosis risk? |
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Definition
| mining, quarrying, sandblasting, foundry/pottery work - however, you need to know the exact job of pts w/these occupations, b/c it will affect their risk level |
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|
Term
| what a very common infection for pts with anthracosilicosis? |
|
Definition
| TB, b/c mines are dark/warm/moist and miners will often breathe each others' air |
|
|
Term
| how are silicosis and asbestos differentiated on a CXR? |
|
Definition
| silicosis: mainly upper lobe disease, asbestosis: mainly a lower lobe disease |
|
|
Term
| what disease are eggshell calcifications associated with? |
|
Definition
|
|
Term
| what is the only thing that will give you bilateral apical balls (nodules?)? |
|
Definition
|
|
Term
| what is caplan's syndrome? |
|
Definition
| lung nodules antedating the development of RA |
|
|
Term
| what is the first rule of pneumoconiosis? |
|
Definition
| pneumoconiosis hits both lungs |
|
|
Term
| what can viral pneumonia resemble? |
|
Definition
| pneumoconiosis (which is why the hx is so important) |
|
|
Term
| what is heard on auscultation with asbestosis (or any kind of pulmonary fibrosis)? |
|
Definition
| end inspiratory rales, due to fibrosis around the alveoli which pops |
|
|
Term
| where does asbestosis occur in the lungs? |
|
Definition
|
|
Term
| what is the cancer associated with asbestos? |
|
Definition
|
|
Term
| what does an x-ray w/a rounded body mean? sunburst? |
|
Definition
| a rounded body is ok, a sunburst is bad |
|
|
Term
| if you see cells with multiple nuclei on a bx, what does this probably mean? |
|
Definition
| that it is probably malignant |
|
|
Term
| where do mesotheliomas usually metastasize? |
|
Definition
|
|
Term
| if you tap a lung and there is blood, what is likely? |
|
Definition
|
|
Term
| what can cause shaver's disease? |
|
Definition
|
|
Term
| who would be likely to get siderosis? |
|
Definition
| iron workers and electric welders who might inhale vaporized metal |
|
|
Term
| asbestos and coal dust/silica go where in the lungs? |
|
Definition
| asbestos goes to the bottom, coal dust/silica go to the top |
|
|
Term
| is pneumoconiosis always bilateral? |
|
Definition
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