Pulmonary Manifestations of Systemic Disease Flashcards
Patients with ALS and other neurodegenerative disorders can have difficulty _________ due to uncoordinated pharyngeal muscles.
swallowing
Those with chest-wall weakness will have _______ on radiograph.
low lung volumes
Respiratory patterns of those with neuromuscular weakness are usually __________.
decreased TLC and increased RV
Again, rheumatoid arthritis presents with a ________ distribution.
symmetric
Joint pain due to rheumatoid arthritis usually improves with ________.
activity
List some of the pulmonary manifestations of rheumatoid arthritis.
Pleura: effusion, thickening, pleuritis Pneumothorax Obstructions: upper airway and bronchiectasis Infections due to immunosuppression Pneumonia (UIP in particular)
List the pulmonary manifestations of sickle cell disease.
Acute chest syndrome
Bone marrow emboli
Pulmonary hypertension
Lung infarctions with subsequent hypoventilation
Neurodegenerative disorders can lead to __________.
nocturnal hypoventilation, weak cough, inadequate ventilation, and trouble swallowing
Those with ALS can have reduced FVC when ___________.
supine
What are three pulmonary treatments given to those with ALS?
Positive-pressure ventilation
Cough assistance
Aspiration precautions
Which test is more specific for rheumatoid arthritis, rheumatoid factor or anti-cyclic citrullinated antibodies?
ACA
What rheumatoid conditions have a prominent pulmonary component?
SLE RA Sjogren's Dermatomyositis/polymyositis Ankylosing spondylitis
What diseases can be associated with renal and pulmonary symptoms?
SLE GPA Microscopic polyangiitis Systemic sclerosis Goodpasture's Churg-Strauss Henoch-Schonlein purpura
What pulmonary diagnoses are associated with inflammatory bowel disease?
Bronchiectasis Bronchiolitis Tracheobronchitis Sublottic stenosis Interstitial lung disease Pulmonary embolism
