Dr Romi Singla - Department Of Pulmonary Medicine GMC, Patiala

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Schematic representation of an extrathoracic variable obstruction. The solid lines represent actual curves, while the dashed line represents a normal inspiratory pattern. Note that with the extrathoracic variable obstruction, exhalation induces a positive intratracheal pressure, which in turn results in little or not resistance to flow past the narrowed segment (top figure). Conversely, inhalation generates negative intrathoracic pressure, which in turn induces negative pressure in the trachea below the point of obstruction. This negative pressure will induce further obstruction and increase resistance to flow
BRONCHIOLITIS OBLITERANS: � Obstructive lung disease � Insidious onset � Progressive dyspnea and cough � Normal or Hyperinflated CXR � P/E: Reduced breath sounds, occasionally an inspiratory squeak � PFTs: Airflow limitation, reduced/ normal diffusing capacity � HRCT : Adjacent areas of decreased and increased attenuation (geographic pattern) air trapping � Majority progress to Hypercapnic Resp. Failure.
Page 2 and 3: Dr Romi Singla
Page 4 and 5: � Association between Smoking and
Page 6 and 7: � Postmortem series 40% � Clini
Page 8 and 9: � Low pleural fluid Glucose conc.
Page 10 and 11: � Least common � Fibroprolifera
Page 12 and 13: � Infrequent
Page 14 and 15: CAPLAN’S SYNDROME: � Welsh coal
Page 16 and 17: � No other CVD involves airways a
Page 20 and 21: RESPIRATORY/FOLLICULAR BRONCHIOLITI
Page 22 and 23: Bronchiolitis Obliterans
Page 24 and 25: Bronchocentric granulomatosis— Th
Page 26 and 27: � Dyspnea, cough � Bibasilar cr
Page 28 and 29: � Acute Interstitial Pneumonitis
Page 30 and 31: � Thoracoscopic open lung biopsy
Page 32 and 33: A 66 year old woman with rheumatoid
Page 34 and 35: � Histology - NSIP and BOOP � D
Page 36 and 37: � TNF-alpha antagonists have revo
Page 38 and 39: � Aspiration Pneumonia � Respir
Page 40 and 41: ASPIRATION PNEUMONIA
Page 42 and 43: There is a higher than expected inc
Page 44 and 45: � All ILDs in PM/DM more common i
Page 46 and 47: High-resolution computerized tomogr
Page 48 and 49: A 57-year-old man with NSIP and PM
Page 50 and 51: A 63-year-old woman with NSIP and D
Page 52 and 53: � MCTD � F/o SLE, PM/DM, and sc
Page 54 and 55: � Pulmonary hypertension - by rec
Page 56 and 57: � Common � In those with predom
Page 58 and 59: Nonspecific interstitial pneumonia
Page 60 and 61: � Seronegative spondyloarthropath
Page 62 and 63: � APICAL FIBROBULLOUS DISEASE �
Page 64: Occurs late in the course of diseas

Dr Romi Singla - Department Of Pulmonary Medicine GMC, Patiala

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