Location | Risk factors | Findings | Answer | % Correct |
---|---|---|---|---|
lower lobes | inhalation of toxic fibers | slow progressive pulmonary fibrosis, CT shows pleural plaques, parietal pleural thickening, honeycombing, irregular linear opacities, shaggy heart sign w/ ground glass appearance | asbestosis | 100%
|
upper lobes | male, occupational/recreational outdoor activities | verrucous skin lesions | blastomycosis | 100%
|
upper lobes | "valley fever", contaminated soil | erythema nodosum, erythema multiforme, empyema | coccidiomycosis | 100%
|
lower lobes | chickens, pigeons HIV w/ CD4+ < 50 | dry cough, hemoptysis, low fever, headache, AMS, + India ink | cryptococcus | 100%
|
upper lobes | bird or bat droppings in the OH/MS river valley HIV w/ CD4+ < 150 | hemoptysis, granulomatous or fibrosing mediastinitis, mediastinal adenopathy w/ patchy infiltrates or military pattern | histoplasmosis | 100%
|
lower lobes | chronic asbestos exposure | hemoptysis, weight loss, fever, unilateral pleural thickening, blood pleural effusions, shrunken hemithorax, treated w/ platinum agent | mesothelioma | 100%
|
upper lobes | coal mining, quart work w/ slate or granite, sandblasting | multiple small round nodular opacities (military pattern) in the upper lobes, eggshell calcification of hilarious and mediastinal nodes | silicosis | 100%
|
upper lobes | hemoptysis, weight loss, night sweats | tuberculosis | 100%
| |
upper lobes | asthma, cystic fibrosis | fungal ball in pre-existing cavity or fibrosis replacing lung, hypersensitivity reaction, tubular mucoid impaction (finger in glove sign) | aspergillosis | 0%
|
upper lobes | fluorescent lights, exposure in dental, computer, and aerospace industries | multiple small rounded opacities that calcify, upper lobe scarring, bullae, volume loss | berryliosis | 0%
|
upper lobes | inhalation of toxic dust particles, aka Caplan syndrome | progressive massive fibrosis, dark "black" lungs, small nodules in the upper lung w/ hyperinflation of lower lobes | coal worker's pneumoconiosis | 0%
|
upper lobes | HIV w/ CD4+ < 200 | diffuse or multifocal areas of ground-glass opacities, opportunistic infection seen in HIV patients, hypoxia induced by activity, interstitial infiltrates, increased LDH | pneumocystis jirovecci pneumonia | 0%
|
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