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Pulm Disease Exam 4

SPC Pulmonary Disease Exam 4 Ch. 26 Interstitial Lung Disease

Anatomic alterations of ILD may involve what? 1. Bronchi 2. Alveolar walls 3. Adjacent alveolar spaces
In severe cases of ILD, intense inflammation leads to what? 1. Pulmonary Fibrosis 2. Granulomas 3. Honeycombing 4. Cavitation
Major pathologic changes associated with chronic ILD are? 1. Fibrotic thickening of bronchioles, alveolar ducts, & alveoli 2. Granulomas 3. Honeycombing 4. Fibrocalcific Pleural Plaques
How many pulmonary disorders are classified as ILD? >180
Pneumoconiosis Occupational, Environmental, & Therapeutic exposure to causes of ILD
Common sources associated with asbestos fibers? 1. INSULATION 2. Automobile undercoating 3. Clutch casings 4. Firefighting suits
Inorganic exposure to ILD? 1. Asbestosis 2. Coal Dust 3. Silica (sand) 4. Beryllium
T/F Pleural calcification is common and diagnostic in patients with asbestos exposure history. True
Pulmonary accumulation of large amounts of coal dust causes? Coal Workers Pneumoconiosis (CWP)
Coal Workers Pneumoconiosis (CWP) is also known as? Coal Miners Lung or Black Lung
Complicated CWP is characterized by what? Areas of fibrotic nodules >1cm in diameter.
Fibrotic changes in CWP are usually caused by? Silica (sand)
Silcosis is also known as what? Grinder's Disease or Quarts Silcosis
Silcosis is caused by what? chronic inhalation of crystalline, free silica, or silicon dioxide particles
Silica is found in what? Sandstone, Quartz, Flint, Granite, Hard rocks and clays
Common occupations associated with silica exposure? SANDBLASTING, ceramics, rock mining, drilling
Additional Inorganic causes of Interstitial Lung Disease? Sidrosis (Iron) & Talcosis (paper, rubber, plastic, & ceramic workers)
Organic exposure to ILD? Hypersensitivity Pneumonitis 1. Moldy Hay 2. Moldy Sugar Cane 3. Cheese 4. Wood Pulp
Common forms of Hypersensitivity Pneuomontitis? Farmers Lung, Aspergillus, Dyssinosis, Humidifier Lung
What is not a hypersensitivity pneumontitis? Histosytosis
Systemic diseases associated with ILD? 1. Connective Tissues 2. Rheumatoid Arthritis 3. Sjogrens Syndrome 4. Polymyositis-Dermatomyositis 5. Systemic Lupus Erythmatosus 6. Sarcoidosis
What is scleroderma? Characterized by chronic hardening and thickening of the skin causes by new collagen formation.
What is Systemic Lupus Erythematosus? Multisystem disorder that mainly involves the joints and skin, lungs being 50%-70% of cases.
Sarcoidosis is? Characterized by the formation of tubercles of non-necrotizing epithelioid. (noncaseating granulomas)
Clinical hallmarks of sarcoidosis is an increase of all 3 immunoglobulins? IgM, IgG, & IgA
Sarcoidosis is common among who? African-Americans, from 10-40 years of age, women more than men
Idiopathic Interstitial Pneumonias? 1. Idiopathic Pulmonary Fibrosis 2. Cryptogenic Organizing Pneumonia (BOOP) 3. Lymphocytic Interstitial Pneumonia
Diagnosis of Idiopathic Interstitial Pneumonias? Generally confirmed by an open biopsy
What does Hamman-Rich Syndrome mean? Rapidly progressive disorder
What is pulmonary vasculitides? Heterogeneous group of pulmonary disorders characterized by inflammation and destruction of the pulmonary vessels.
Major disorder of pulmonary vasculitides? Churg-Strauss
What is good pastures syndrome? Disease of unknown cause, that involves two organ systems lungs and kidneys.
What happens to the lung volumes with ILD? All decrease
Chest radiographs of ILD? 1. Honeycombing 2. Cavity Formation 3. Granulomas
Best management for ILD? Corticosteroids
Created by: Langhout1418