13. interstitielle Lungenparenchymerkrankungen Flashcards

1
Q

(ILD)

Ätiologie (2)

A
  • idiopatisch pulmonale FIbrose (IPF)
  • sekundär
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2
Q

(ILD)

Leitsymptome (2)

A
  • trockener Reizhusten
  • progrediente Belastungsdyspnoe
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3
Q

(ILD)

Befunde bei der Inspektion (2)

A
  • Trommelschlägelfinger
  • Uhrglasnägel
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4
Q

(ILD)

Befund bei der Auskultation

A

beidseitiges basales inspiratorisches Knisterrasseln (Skleroiphonie)

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5
Q

(ILD)

Bildgebung: Basisdiagnostik

A

Röntgen-Thorax

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6
Q

(ILD)

Röntgen-Thorax-Befund

A

interstitielle Zeichnungsvermehrung

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7
Q

(ILD)

hochauflösendes Thorax-CT (HRCT)-Befunde (3)

A
  • Bronchiektasen
  • Honigwabenmuster
  • retikuläre Verdichtungen
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7
Q

(ILD)

Bildgebung: Goldstandard

A

hochauflösendes Thorax-CT (HRCT)

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8
Q

(ILD)

IPF: Therapiemöglichkeiten (2)

A
  • nicht-medikamentös
  • medikamentös
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9
Q

(ILD)

IPF: nicht-medikamentöse Therapie

A

pulmonale Rehabilitation (“Lungensport”)

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10
Q

(ILD)

IPF: medikamentöse Therapie (2)

A
  • Pirfenidon (TGF-Beta1-Antagonist)
  • Nintedanib (Tyrosinkinaseinhibitor)
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11
Q

(ILD)

medikamentöse Therapie: Wirkung

A

antifibrotische und entzündungshemmende

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