Coal worker's pneumoconiois question,,,,,,,,

Discussion in 'Step I' started by Knicks, Dec 30, 2008.

  1. Knicks

    7+ Year Member

    Joined:
    Aug 28, 2007
    Messages:
    1,404
    Likes Received:
    7
    I was reading the RR Path book and on page 307 it says, "No increased incidence of TB or primary lung cancer". (notice the italicized "No").

    However, at a study session at a classmate's house (during which he was playing the goljan audio that he had, on his speakers) goljan says that these patients DO have an increased incidence of TB but not cancer.


    Why the discrepancy? Which is correct?
     
  2. soonereng

    soonereng Double Trouble
    Physician 10+ Year Member

    Joined:
    Oct 12, 2006
    Messages:
    1,286
    Likes Received:
    2
    Status:
    Attending Physician
    According to Robbins the RR book is correct.

     
  3. spospo

    spospo Going to extremes
    7+ Year Member

    Joined:
    Jun 13, 2006
    Messages:
    763
    Likes Received:
    0
    Status:
    Medical Student
    i was in this similar position a few weeks ago. one professor said yes while goljan said no. very confused with the final coming up, i emailed the head of pathology. he basically said

    recent evidence suggests CWP and TB are independent BUT miners have an increased risk of TB, which has often been assumed to be due to the coal dust. more often though people link the TB in coal workers with poor general health, poor nutrition, etc

    hope that helps
     
  4. Amy B

    Amy B I miss my son so much
    Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    Aug 7, 2000
    Messages:
    4,304
    Likes Received:
    3
    Status:
    Resident [Any Field]
    I work in an area that has a high rate of black lung. Some have also had TB, none have had cancer......
     
  5. Knicks

    7+ Year Member

    Joined:
    Aug 28, 2007
    Messages:
    1,404
    Likes Received:
    7
    Thanks everyone for the input.

    Robbins, it is.
     
  6. AllUpOnYoMama

    2+ Year Member

    Joined:
    Jan 4, 2009
    Messages:
    150
    Likes Received:
    0
    Status:
    Medical Student
    They have an increased risk of TB but not cancer. I would go with robbins over old audio goljan anyday. I also think that I had this question in USMLEworld. peace
     
  7. IdontTakeCall

    2+ Year Member

    Joined:
    Oct 21, 2008
    Messages:
    118
    Likes Received:
    0
    Status:
    Medical Student
    according to my path notes from my pulmonology unit, silicosis, not coal workers pneumo, leads to an increased lifetime chance of Tuberculosis. Asbestosis and silicosis both have an increased chance of cancer particularly mesothilioma with asbestosis. Very similar diseases that do not predispose to the same future illnesses.
     
  8. AllUpOnYoMama

    2+ Year Member

    Joined:
    Jan 4, 2009
    Messages:
    150
    Likes Received:
    0
    Status:
    Medical Student
    Forget about asbestosis/smokers and mesothelioma. Most pts with asbestos exposure who also smoke die from lung cancer way before they have mesothelioma. I believe it takes 20 years for mesothelioma to grow vs. 10 or so for lung cancer. Im not sure what type of lung cancer. I think asbestosis and mesothelioma is too easy for the board to ask. Someone correct me if Im wrong. I think I read this in goljan RR.
     
  9. Disinence2

    Disinence2 Emergency Medicine
    Physician 7+ Year Member

    Joined:
    Aug 11, 2006
    Messages:
    1,576
    Likes Received:
    22
    Status:
    Attending Physician
    So was the verdict on this that CWP has no increased incidence of TB or primary lung cancer?

    I spent some time on Pub Med but couldn't come up with anything.

    Thanks!
     
  10. ___Doctor786___

    5+ Year Member

    Joined:
    Nov 21, 2006
    Messages:
    89
    Likes Received:
    0
    Status:
    Medical Student
    I'm not sure about Coal-worker's pneumoconiosis, however, with Silicosis, there is definitely an increased risk of TB.
     
  11. Depakote

    Depakote Pediatric Anesthesiologist
    Rocket Scientist Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    Nov 2, 2004
    Messages:
    20,811
    Likes Received:
    100
    Status:
    Attending Physician
    For Coal Worker's Pneumoconiosis, my path notes say explicitly (and I'm quoting from the slide):

    (edit: see below... flip flopping on this)
     
    #11 Depakote, Feb 8, 2009
    Last edited: Feb 8, 2009
  12. Depakote

    Depakote Pediatric Anesthesiologist
    Rocket Scientist Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    Nov 2, 2004
    Messages:
    20,811
    Likes Received:
    100
    Status:
    Attending Physician
    Of course, I go to Medium Robbins to get a page reference and on p271 I see:

    *shrug*
     
  13. Knicks

    7+ Year Member

    Joined:
    Aug 28, 2007
    Messages:
    1,404
    Likes Received:
    7
    ughhhhh,


    the ambiguity is annoying. :mad: :thumbdown:
     

Share This Page