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Neumo MIR > Intersticiales > Flashcards

Intersticiales Flashcards

1
Q

Enfermedades intersticiales apicales

A

Amiodarona
Fibrosis quística
hIstiocitosis X
TBC crónica
NHC/NEC
Espondilitis anquilosante
Sarcoidosis
Silicosis

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2
Q

Enfermedades intersticiales con patrón obstructivo

A

Histiocitosis X
Linfangioleiomiomatosis
Sarcoidosis
Silicosis
NEC
NHC

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3
Q

Patrón intersticial pulmonar más frecuente de conectivopatías

A

NINE

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4
Q

Características que nos deberían hacer sospechar enfermedad intersticial

A

Disnea + Tos seca + Crepitantes “en velcro”
Disminución DLCO
Patrón restrictivo

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5
Q

Intersticiales con patrón quístico

A

Histiocitosis X y linfangioleiomiomatosis

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6
Q

Intersticial con LBA de PMN

A

FPI

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7
Q

Intersticial con macrófagos espumosos

A

Amiodarona

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8
Q

Intersticial con LBA macrófagos hiperpigmentados

A

NID (varon joven fumador)

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9
Q

Quilotorax en mujer joven

A

sospechar linfangioleiomiomatosis

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10
Q

Intersticiales eosinofílicas

A

ABPA
NEA (NO en sangre periférica)
NEC
NO NHA o NHC

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11
Q

Negativo en alas de mariposa

A

NEC

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12
Q

Intersticial macrófagos PAS +

A

Proteinosis alveolar

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13
Q

Bronquiectasias en dedo de guante

A

ABPA

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14
Q

Sindrome de Lofgren

A

Sarcoidosis (“FAENA”)
Fiebre
Artralgias
Eritema Nodoso
Adenopatías perihiliares

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15
Q

Características FPI

A

Rx tórax infiltrado bibasal y subpleural en panal de abeja
Dx TCAR –> NIU
LBA –> PMN
Tto soporte + antifibróticos
Mal pronóstico

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16
Q

Patrón NID

A

Vidrio Deslustrado

17
Q

Patrón NIA

A

Patrón alveeolar en alas de mariposa

18
Q

Características NIL

A

Linfoproliferativos e inmunodeprimidos
LBA linfocitos

19
Q

Infiltrados parcheados migratorios

A

NOC

20
Q

Cociente CD4/CD8 disminuido

A

Neumonitis Hipersensibilidad
NOC

21
Q

Cociente CD4/CD8 elevado

A

Sarcoidosis

22
Q

Diagnóstico sarcoidosis

A

Clínica y rx compatible + Granulomas NO caseificantes

23
Q

DD linfangioleiomiomatosis e histiocitosis X

A

Linfangioleiomiomatosis –> Ladies, céls músculo Liso, LOW, px Lamentable, tto sirolimus
Histiocitosis X –> Hombres, quistes de Hueso, céls de LangerHans, HIGH, px Happy, tto dejar de fumar

24
Q

Clasificación radiológica sarcoidosis

A

I: Adenopatías hiliares bilaterales –> NO tto
II: adenopatías + parénquima
III: SOLO parénquima
IV: fibrosis pulmonar

25
Q

Exposición a arena o minas

A

Silicosis

26
Q

Asociación silicosis

A

EPOC y TBC

27
Q

Causa y clínica ABPA

A

Aspergillus fumigatus
Asma + Moco marrón

28
Q

Tratamiento proteinosis alveolar

A

Lavado pulmonar + GM CSF + plasmaféresis + rituximab
NUNCA corticoides

Neumo MIR (7 decks)

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