PulmonaryCTD - Pulmonary manifestations of connective...

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Unformatted text preview: Pulmonary manifestations of connective Pulmonary manifestations of connective tissue diseases tissue diseases (SLE ,RA , SS, PM/DM) (SLE ,RA , SS, PM/DM) Spectrum of Spectrum of pleuro pleuro pulmonary involvement in CTD pulmonary involvement in CTD Upper airway involvement Upper airway involvement cricoarytenoid cricoarytenoid joint arthritis joint arthritis aspiration pneumonia aspiration pneumonia Smaller airway Smaller airway bronchiolitis bronchiolitis bronchiolitis bronchiolitis obliterans obliterans , follicular , follicular bronchiolitis bronchiolitis Respiratory muscle weakness Respiratory muscle weakness type 2 respiratory failure type 2 respiratory failure basal atelectasis , recurrent pneumonia basal atelectasis , recurrent pneumonia Interstitial lung disease Interstitial lung disease acute and chronic ILD acute and chronic ILD end stage fibrosis end stage fibrosis honey combing honey combing Pulmonary vascular disease Pulmonary vascular disease secondary to underlying ILD secondary to underlying ILD Isolated PAH Isolated PAH acute and chronic acute and chronic thromboembolic thromboembolic disease disease Pulmonary Pulmonary vasculitis(Pulmonary vasculitis(Pulmonary capillaritis capillaritis ) diffuse alveolar hemorrhage diffuse alveolar hemorrhage Parenchymal nodules Parenchymal nodules rheumatoid arthritis rheumatoid arthritis pseudo lymphoma in pseudo lymphoma in Sjogrens Sjogrens Drug related Drug related Immuno Immuno supression supression Gold and methotrexate related toxicity Gold and methotrexate related toxicity Asymptomatic Asymptomatic radiological radiological abnormalities abnormalities Nodules Nodules Early stage of ILD Early stage of ILD Small pleural effusions Small pleural effusions SOB, Normal CXR SOB, Normal CXR Normal spirometry Normal spirometry Isolated PAH Isolated PAH Airflow limitation Airflow limitation Upper airway obstruction Upper airway obstruction Restrictive pattern Restrictive pattern Muscle weakness Muscle weakness SOB, diffuse SOB, diffuse pulm pulm infiltrates, fever (acute infiltrates, fever (acute pneumonia like pneumonia like presentation) presentation) Acute ILD (DAD,BOOP) Acute ILD (DAD,BOOP) Infective pneumonia Infective pneumonia DAH DAH Acute Acute pul pul edema edema Hempotysis Hempotysis Nodules Nodules Telangiectasia Telangiectasia Carcinoma Carcinoma CLINICAL CLINICAL PRESENTATION PRESENTATION Acute SOB ,normal CXR Acute SOB ,normal CXR PTE PTE Acute reversible hypoxemia syndrome SOB ,dry cough, SOB ,dry cough, bibasilar crepts bibasilar crepts Chronic ILD Chronic ILD No clubbing No clubbing- SS SS Pleuritic chest pain Pleuritic chest pain Fever, SOB Fever, SOB Pleuritis Pleuritis pneumonia pneumonia Upper respiratory Upper respiratory symptoms symptoms foreign body foreign body sensation , sore throat, sensation , sore throat, stridor stridor Cricoarytenoid arthritis Cricoarytenoid arthritis SLE 50% incidence Pleura ,parenchyma and respiratory muscle commonly involved Airway rarely involved Lupus pleuritis and pleural effusion...
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This note was uploaded on 12/03/2011 for the course MEDICINE 350 taught by Professor Dr.aslam during the Winter '07 term at Medical College.

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PulmonaryCTD - Pulmonary manifestations of connective...

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