interstitial disease Flashcards
(21 cards)
definition of interstitial disease
any disease process affecting lung interstitium
ie, alveoli etc
symptoms of interstitial disease
dry cough, breathlessness
3 types of interstitial disease
acute
episodic
chronic
idiopathic
relating to or denoting any disease or condition which arises spontaneously or for which the cause is unknown
sarcoidosis
granulomatous disease of unknown cause
system involvement in common sarcoidosis
lungs, lymph nodes,joints
systems involved in rare sarcoidosis
kidneys, brain, nerves, heart
treatment for acute sarcoidosis
no treatment,
steroids if vital organs affected
treatment for chronic sarcoidosis
oral steroids
immunosuppression
signs of extrinsic allergic alveolitis
hypersensitivity pneumonitis
breathless fever cough flu like symptoms crackles, no wheeze. hypoxia
treatment of allergic alveolitis (hypersensitivity pneumonitis)
oxygen, steroid and antigen avoidance
most common interstitial disease
idiopathic pulmonary fibrosis
presentation of idiopathic pulmonary fibrosis
progressive breathlessness
dry cough
bilateral crackles
clubbing
CT scan show of idiopathic pulmonary fibrosis
shadowing worse at lung base and periphery
honey - combing cystic changed
median survival after IPF diagnosis
4 years
caplans syndrome
pulmonary nodules
coal workers pneumoconiosis
chest xray abnormality only
no impairment of lung function
silicosis
15-20 years exposure to quartz
presentation of simple pneumoconiosis
egg shell calcification of hilar nodes
presentation of chronic silicosis
restrictive pattern
pulmonary fibrosis
pulmonary fibrosis
condition in which the lung becomes thickened, stiff and scarred over time
