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Flashcards in Asbestos related lung disorders Deck (21)
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1

what are the pleural diseases involving asbestos?

benign pleural plaques

acute asbestos pleuritis

benign asbestos pleural effusions

pleural effusion and diffuse parenchymal thickening

malignant mesothelioma

2

what is the pulmonary fibrosis from asbestos called?

asbestosis

3

benign pleural plaques

common and asymptomatic but can look dramatic on a CXR

discrete areas of thickening on parietal pleura that may calcify

4

what is acute asbestos pleuritis?

acute inflammation of the pleura

5

what are the symptoms of acute asbestos pleuritis?

fever, pain, bloody pleural effusion

can occur even over 10 years after exposure

6

what characterises Pleural effusion and diffuse parenchymal thickening?

extensive fibrosis of visceral pleura with adhesion to parietal pleura

7

what are the symptoms of Pleural effusion and diffuse parenchymal thickening?

dyspnoea and chest pain

8

what is the effect of Pleural effusion and diffuse parenchymal thickening on spirometry ?

restrictive impairment

9

what are the other features of Pleural effusion and diffuse parenchymal thickening

it is difficult to treat

10

what is malignant mesothelioma ?

incurable pleural cancer

11

what are the symptoms of mesothelioma?

presents with chest pain and pleural effusion

12

what is the treatment for mesothelioma?

there is none

13

what causes mesothelioma?

only asbestos - not smoking associated

14

what are the features of benign asbestos pleural effusions?

they are usually small, unilateral, resolve spontaneouslym blood stained exudates

15

what treatment is given for benign asbestos pleural effusions?

symptomatic treatment given

16

what do you need to get asbestosis ?

Have to had had heavy prolonged exposure for at least 5 years for asbestosis to happen.

17

what happens in asbestosis ?

you get diffuse parenchymal fibrosis and restrictive defect

18

what are the symptoms of asbestosis?

breathlessness

19

where do you find asbestos bodies in asbestosis?

Find asbestos bodies in sputum
Find asbestos fibres in lung biopsy

20

what other cancer can asbestos cause?

bronchial carcinoma

21

what is the treatment for bronchial carcinoma?

pleurodese effusions

radiotherapy - palliative/ prophylactic

surgery - need to be very fit

chemotherapy- trials only, palliative care