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Interstitial Lung Disease Allison Cihla, MD Medical Director, Intensive Care and Cardiopulmonary Services, Preston Memorial Hospital Consulting Pulmonologist Appalachian Pulmonary Health Program

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Page 1: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Interstitial Lung

Disease

Allison Cihla, MD

Medical Director, Intensive Care and Cardiopulmonary Services, Preston Memorial

Hospital

Consulting Pulmonologist Appalachian Pulmonary Health Program

Page 2: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Objectives

Page 3: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Interstitial Lung Diseases

Page 4: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Classification

Page 5: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Infections

Page 6: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Exposures

Page 7: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Exposures

Page 8: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Exposures

Page 9: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Exposures

Page 10: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Exposures

Page 11: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Idiopathic

Page 12: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Clinical Presentation

Page 13: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

History

Page 14: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

History

Page 15: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

History

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Page 16: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

History

Page 17: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Symptoms

Page 18: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Symptoms

Page 19: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Physical Exam

Page 20: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Physical Exam

Page 21: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Diagnostic Testing

Page 22: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Laboratory

Page 23: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Imaging

Page 24: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive
Page 25: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

CT Scan

Page 26: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Patterns on HRCT

Page 27: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

HRCT Key Findings

Page 28: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive
Page 29: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

HRCT Key Findings

Page 30: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Pulmonary Function Testing

Page 31: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive
Page 32: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Pulmonary Function Tests

Page 33: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Diffusion Capacity

Page 34: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Gas Exchange Abnormalities

Page 35: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Gas Exchange Abnormalities

Page 36: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Cardiac Evaluation

Page 37: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Cardiac Evaluation

Page 38: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Bronchoalveolar Lavage

Page 39: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Bronchoalveolar Lavage

Page 40: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Lung Biopsy

Page 41: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Summary

Page 42: Interstitial Lung DiseaseLung volumes are further reduced as disease severity FEVI/FVC ratio is usually normal or increased decreases in TLC, FRC and RV Most diseases will have a restrictive

Summary


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