The ILD History | Resp History - MedSchool
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Resp History
 
 
 

The ILD History

 
 
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Overview

    • Ask About

    • Diagnosis - when ILD was diagnosed, cause
    • Pace of progression
    • Exacerbations
    • Management - lifestyle, pharmacologic, supportive, surgical measures
    • Complications
    • Causes of Interstitial Lung Disease

    • ILD of Known Association

    • Connective tissue disease - rheumatoid arthritis, scleroderma, systemic lupus erythematosus, Sjogren’s syndrome, polymyositis / dermatomyositis
    • Medications - methotrexate, nitrofurantoin, bleomycin
    • Occupational exposure - silicosis, asbestosis
    • Granulomatous ILD

    • Sarcoidosis
    • Hypersensitivity pneumonitis
    • Idiopathic Interstitial Pneumonias

    • Idiopathic pulmonary fibrosis
    • Others - idiopathic non-specific interstitial pneumonia, acute interstitial pneumonia, cryptogenic organising pneumonia, lymphocytic interstitial pneumonia, desquamative interstitial pneumonia

Complications

    • Complications of Interstitial Lung Disease

    • Acute exacerbation of ILD
    • Cor pulmonale
    • Pulmonary hypertension
    • Lung cancer

Management

    • Management Strategies

    • Lifestyle

    • Avoid exposure to irritants
    • Pulmonary rehabilitation
    • Pharmacologic

    • Idiopathic pulmonary fibrosis - pintedanib, pirfenidone
    • Connective tissue disease-related ILD - immunosuppression
    • Supportive Measures

    • Home oxygen
    • Vaccinations - influenza, pneumococcus
    • Surgical Options

    • Lung transplant
Last updated on May 1st, 2019
 
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