Interstitial And Occupational Lund Disease

Question 0

What is sarcoidosis?

Answer 0

Granulomatous (Type iv) disease

Question 1

What symptoms does interstitial lung disease cause?

Answer 1

SoB

Dry cough

Question 2

Symptoms of acute sarcoidosis?

Answer 2

Erythema nodosum
Bilateral hilar lymphadenopathy
Arthritis
Uveitis
Fever

Question 3

Symptoms of chronic sarcoidosis?

Answer 3

Lung infiltrates
Skin infiltrates
Peripheral lymphadenopathy
Hypercalcaemia

Question 4

What investigations would be carried out to diagnose sarcoidosis?

Answer 4

CXR and CT
Tissue biopsy
ACE level check (high in sarcoidosis)

Question 5

Treatment of sarcoidosis

Answer 5

Immunosuppression

• Azathioprine
• Methotrexate
• Anti-TNF therapy

Question 6

What is extrinsic allergic alveolitis?

Answer 6

Type iii hypersensitivity

Question 7

What causes extrinsic allergic alveolitis?

Answer 7

Thermopilic bacteria
- Farmers/Malt workers/Mushroom workers lung
Avian antigens
- Bird fanciers lung
Drugs
- Gold
- Bleomycin/Methotrexate

Question 8

Symptoms of extrinsic allergic alveolitis

Answer 8

Cough
SoB
Fever
Myalgia
Several hours after exposure
Crackles
Hypoxia

Question 9

How does extrinsic allergic alveolitis appear on CXR?

Answer 9

Widespread infiltrates

Question 10

Ground-glass appearance on CT

Answer 10

Idiopathic pulmonary fibrosis

Question 11

A benign condition caused by asbestos exposure

Answer 11

Pleural plaques

Question 12

Malignant condition caused by asbestos

Answer 12

Mesothelioma

Question 13

What kinds of biopsy can be performed in ILD?

Answer 13

Transbronchial

Thoracoscopic