Diagnose This Flashcards

1
Q
Hemoptysis causes
B/B
P, esp w N
T/F 
Pulmonary \_\_
N
V_ including vasculitis, pulm AVM
M\_\_
F\_\_
B\_\_\_

MS produces ___ due to high __ (varices) between Pulm __/__

A
bronchitis, bronchiectasis
PNA, necrosis
Tb/fungal
embolis
neoplasm
vasc dz
mitral stensosi
foreign body
broncholithiasis

bronchial hemorrhage
pressure connections, A/V

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2
Q

__ (The lung fluke), commonly causes __
location ___
_ vector, acquired via ingestion of raw/undercooked ___

adult will __ in lungs, producing parenchymal __, __, pleural ___
radiographic mimic of __

TPE due to __, causes __ like sx leading to ___

__ tb unlikely w neg __

__ infection presents a __ and has __ opacities

A

Paragonimiasis, hemoptysis
Far East
snail, shellfish

encyst, opacities, cavities, effusion, Tb

filiariasis, asthma, PHTN

cavitary, sputum smears

Stronglyoides, sepsis, bilateral

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3
Q

__ is common in IC people
think __/__ in our region w excavation
unlikely to produce prominent __ findings

Pet __ esp psittacine birds assc w ___
infection w __

birds do not carry __

Significant RF for crescent sign (mucor/aspergillus)

A

Fungal infection
histo/blasto
chest ausculatory

birds, psittacosis
Clamydophila psittaci

histo

neutropenia

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4
Q

fever, splenomegaly w anemia, mees lines should be ___

Acute chagas dz aka __
fever and __, should not cause __/__

__ may produce dysentery, abdomen is __
__ is a febrile condition w abnormal liver findings

__ lesion w an __ may indicate dz w ___
such as __/__/__/__

A

Malaria

SA trypanosomiasis
hepatosplenomegaly
anemia/Mees

Amoebiasis, tender
ameobic liver abscess

rounded lesion, air fluid level, lung necrosis
Tb, cavitary cancer, vasculitis, lung abscess

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5
Q

True cavities w thick walls indicates __ infect, __ cancer, ___

__ bullae w no true __
cysts/pneumatoceles are _

horizontal lines on chest xray indicates __, such as ___ exception is __

__ is risk for silica
upper lobe masses w diffuse infiltrate may be __/__/__

exposure to moldy grain is RF for __
Bakers/pastry chef at risk for __ due to __ ___ exposure

A

necrotic, cavitary, infarct

emphysematous, walls
thin walled

air fluid level, cancer, minor fissure

gold mining
silicosis, coal workers pneumocon, rare pneumocon

hypersensitivity pneumonitis
asthma, wheat weevil

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6
Q

___ is a more common yeast than __

slowly progressive infect in person w __ (such as __), think mycobacteria (ie __/__)
or dimorphic fungi __/__
saprophytic fungi __ (only hyphae)

Tertiary syphillis can produce ___ due to neuropathy

ILD, joint pain, Raynauds, MW, skin findings indicates __
such as __, __ or __ dematomysositis

A

histo, sporothrix

structural lung dz, emphysema
Tb, non-Tb
histo/sporothrix
aspergillus

Charcot joints

autoimmune cx
Scleroderma, MCTD, anti-synthetase variant

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7
Q

Classic S. pnenuo PNA- __ acq, __ PNA

high CD4 count in HIV makes __ less likely

Pneumocystis presents w __ and __ and ___
imaging shows __ lung involvement
look for __/__
auscultate w/out __ findings

__ is unusual in HIV

A

comm, lobar

opportunistic infect

fever, SOB, little cough
bilateral
pneumatoceles/PTX
consolidation

Aspergillosis

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8
Q

Uremic complications include E/S/H/V/P/P/P

__ is feared comp of vasculitis

RCC predisoses to __

atypical PNA includes __/__/__/__

YA in grouped quaters at risk for ___, look for __

___ may indicate mycoplasma

__ in elderly w comorbids/IC
look for exposure to ___

A

enceph, seizure, hyperK, volume overload, pericarditis, pericardial effusion/tamponade

coronary occlusion

pleural effusion/embolism

Mycoplasma, Chlamydophila, legionella, respiratory virus

adenovirus, conjunctivitis

Bullous myringitis

Legionella
aerosolized water

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9
Q

Constrictive pericarditis w inc __, clear ___, __ and + __ w __ on xray
comps of longstanding __

RA related PF should have __ on chest auscultation

A1AT lung dz leads to __ in lower lungs

__ def leads to recurent ___ infections, leading to __ and __ airway dz
look for __, __ and __

A

JVD, lungs, hepatomegaly, Rosenbach sign, pericardial calcifications
RA

inspiratory crackles

emphysema

Ig, bacterial sino-pulmonary, bronchiectasis/obstructive
sputum, rhonchi, imaging

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10
Q

__ is disorder due to antibody against __ of GBM

cross rx w __
lung finding is __ w diffuse alveolar __
no __

no __ or other involvement

Alveolar hemorrhage sx __/__
UA w __/__
imaging shows bilateral __ filling w GGO and __
path w diffuse __

GPA dx test w __, target antigen is __
AntiGBM dx test is __

A

Goodpastures, Type 4

alveolar basement membrane
capillaritis, hemorrhage
cavitary masses

upper airway

SOB/hemoptysis
red cells/casts
symmetric airspace filling, consolidation
capillaritis

cANCA, PR3
GBM antibody

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11
Q

DO w upper/lower resp tract disease

Infections T_, invasive __/__, __ H/N w lung spread

Immunodef/genetic w __ and __
C__, hypo__, hyper__

M__
Autoimmune/vasculitc
S, R, C, G

__ could produce upper airway infection/OM

lung abscess may __into pleural space producing __

A

TB, mcor/asper, anaerobic

rhinosinusitis, bronchiectasis
CF, hypogammaglobulinemia, hyperIgE

metastatic cancer
sarcoid, relapsing polychondritis, churg strauss, GPA

Tb

rupture, empyema

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12
Q

Hypogammaglobulinemia produces recurrent __, along w __ and __
__ leads to airflow obstruct
labs w low //_

__/__ can prodce cylindrical bronchiectasis

hyperIgE characterized w recurrent __ infections and high __
abnormaluty in __ signal transducer and activation of __
low __
characteristic __/__ teeth

A

infections, face pain/tooth tenderness
bronchiectasis
IgG, IgM, IgA

RA/Tb

Staph aureus, IgE
JAK, STAT3
IL17
facies/supernumery

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13
Q

Met cancer w upper/lower airway involvement
Primary is lung
mets to P/contra __/B/L/A/B

H/N cancer unlikely in __ or no hx of__

Sarcoid often involves __/__/__/__
unlikely to produce __ esp w __
Non necrotizing __

RP- inflam/destrxn of __
involves upper __, joints, __, N, E, H
does not produce __

A

pleura, lung, brain, liver, adrenal, bone

nonsmoker, smokeless tb

lung, LN, skin, liver
mass lesions, cavitation
granulomatous inflam

cartilage
tracheobronchial tree, ear, nose, eye, HV
mass lesions

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14
Q

__ is renal involvement of __
__ in urine, specific for __

Numerous lueks in urine w __ or __
CaOx crystals __, possible __ ingestion
Numerous tubular casts w cell debris in ___
lots of protein but otherwise bland w __, due to ___

A

Glomerulonephritis, GPA
RBC cast, GN

UTI, pyeloneph
renal stone, ethylene glycol
ATN
nephrotic synrome, MCD

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15
Q

GPA involves (ELK)
path shows __ inflam w/out __
test for __ due to __

Churg strauss syndrome
all have \_\_ and \_\_
begins w \_\_
path shows \_\_ w prominent \_\_
less likely to involve \_\_\_
may be + for \_\_\_
may be antibody to \_\_ or \_\_
A

ENT, lung, kidney
necrotizing granulomatous, eosinophils
cANCA, PR3

asthma, blood eosinophilia
allergic rhinitis
granulomatous inflam, eosinophils
kidney
ANCA
MPO or PR3
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16
Q
Tx GPA
Tx similar to \_\_
Induction w \_\_ and \_\_ or \_\_
Maintain w \_\_ or \_\_
recurrence w \_\_\_

SE
risk of __
S

cyclo SE- __ suppression, C, __ cancer, M__ and ___

CS SE- D/O/A/C

A

cancer
CS+ rituximab, cyclophos
mtx/azathioprine
re-induction

opportunistic infect
sterility

bm, cystitis, bladder, myelodysplasia, leukemia

DM, osteo, avascular necrosis of bone, cataracts