You have been asked by the primary care physician to evaluate the case. Additional history to be obtained includes:
Supplemental History
Occupational & Environmental History
Infectious processes to be considered in the differential diagnosis of diffuse lung disease with fever include all but one of the following...
Diagnostic testing - I
Based upon the history, physical examination, and diagnostic tests, you suspect an occupational lung condition. Your highest index of suspicion is for which of the following?
In evaluating the possibility of hypersensitivity pneumonitis, the work-up may include all but:
Pulmonary function testing results
(patient working)
Pulmonary function testing results
(patient off work)
Pulmonary function testing interpretation:
Reversible restrictive ventilatory defect with impaired diffusion:
Arterial hypoxemia at rest
Diagnostic testing - II
High-resolution CT Scan
Diagnostic criteria for HP (this case in blue)
Based upon the above pattern of symptoms, radiologic findings, physiologic and serologic tests, the diagnosis of hypersensitivity pneumonitis (HP) was confirmed. Which of the following terms is considered synonymous with HP?
HP: Natural History
Clinical Course
Temporal course of disease in HP
In this case, the temporal course can be best described as:
Match the following HP syndromes with their corresponding biological agents:
Although most HP-associated agents are large biomolecules, exposure to some low molecular weight (LMW) agents can also produce HP. Which of the following LMW agents has not been associated with HP?
Besides HP, several other occupational inhalation scenarios include fever after a delay of a few hours. These include all of the following except:
HP: Pathophysiology (simplified)
HP: Pathophysiology (simplified)
HP: Pathophysiology (simplified)
HP: Pathophysiology (simplified)
HP: Pathophysiology (simplified)
HP: Pathophysiology (simplified)
Lung biopsy reliably rules-in or rules-out hypersensitivity pneumonitis, regardless of the chronicity of the process.