5.4 lung 2 Flashcards
(27 cards)
Chest x ray shows small nodules and ground glass shadows
Diffuse interstitial disease / fibrosing disease
Diffuse interstitial disease / fibrosing disease has what PFTs
Decreased FEV1 and FVC so normal FEV1/FVC
MUC5B variant
Diffuse interstitial disease / fibrosing disease
Honeycombing
UIP
Dense collagenous fibrosis
Normal lung
Fibroblastic foci
Temporal heterogeneity
UIP
Diagnoses of exclusion
Sarcoidosis
IPF
NSIP
Requires lung transplant
IPF
Cellular and fibrosing patterns
Temporal homogeneity
Nonspecific interstitial pneumonia (NSIP)
Polypoid plugs of loose CT in alveolar ducts, alveoli, and bronchioles
Cryptogenic organizing pneumonia
Treat with oral steroids for at least 6 months
Cryptogenic organizing pneumonia
Occupational lung disease also called
Pneumoconiosis
Black carbon pigment in lungs without fibrosis
Anthracosis
Seen in coal miners, urban dwellers, and tobacco smokers
Anthracosis
See Macules and nodules
Coal worker’s pneumoconiosis
Involves upper loves and upper zones of lower lobes
Coal workers pneumoconiosis
Lack scars with lung compromise
Progressive massive fibrosis
Center may be necrotic
Progressive massive fibrosis
Size of black to diagnose progressive massive fibrosis
1-2 cm
Silicosis usually in which lobes
Upper lobes
Lymph nodes with birefringence
Silicosis
Concentric hyaline red nodules in lung parenchyma
Silicosis
Ferruginous bodies
Asbestosis
Asbestosis more in which lung lobe
Lower lobes
Can get compensation for what asbestos related diseases
Mesothelioma
Asbestosis
Lung cancer