Flashcards in Pulm - interstitial Lung Disease Solitary Nodule & Sarcoid Deck (12):
When to get a biopsy of a solitary pulmonary nodule?
HPI: smoker over 40
Imaging: enlarging large (greater than sign 2 cm) spiculated, with sparse eccentric calcifications and abnormal PET scan
Patient with intermediate probability of malignancy on solitary pulmonary nodule – most appropriate next step?
If cytology is positive?
Bronchoscopy or transthoracic needle biopsy
Resection with positive sputum cytology
Drugs that cause pulmonary fibrosis?
Pneumoconiosis if exposed to:
1. Sandblasting, rock mining
3. Electronic manufacture
4. Moldy sugarcane
All types of pulmonary fibrosis presents with?
Best initial test if suspecting fibrosis?
Most accurate test?
Pneumoconiosis in which biopsy will show granulomas?
Patient with suspected interstitial lung disease – biopsy finding that indicates reversibility? Permanence?
Inflammatory infiltrate with white blood cells
If biopsy of patient with interstitial lung disease shows WBC infiltrate – management?
Typical presentation of sarcoid?
Young African-American woman with:
1) shortness of breath, and rales without wheezing
2) erythema nodosum
Other, less common findings in sarcoidosis?
#Parotid gland enlargement
#Heart block with restrictive cardiomyopathy