ILD

Question 1

ILD definition

Answer 1

Affects the distal airspace and parenchyma

Question 2

ILD classification

4

Answer 2

ILD of known etiology
Idiopathic IP
Granulomatous ILD
Other (LAM, LSG)

Question 3

ILD of known etiology causes

Answer 3

Deugs
Occupationa exposure
CT disease

Question 4

Idiopathic IP causes

Answer 4

Idiopathic pulmonary fibrosis

And many more

Question 5

Granulomatous ILD causes

Answer 5

Sarcoidosis

Hypersensitivity pneumonitis

Question 6

ILD symptoms

Answer 6

Excersise induced dyspnea
Dry cough

Fatigue
Clubbing
Cor pulmonale

Question 7

We need better diagnostic tool than X-ray to diagnose ILD.

What will we use?

Answer 7

High Resolution CT

< 1 mm slices
Inspiratory and expiratory scan

Question 8

Except HRCT what else should we do to ILd patients?

Answer 8

Bronchoscopy-

Transbronchial lung biopsy
BAL

Blood gases
6 MWT
ECHO

Question 9

DLCO=

Answer 9

Diffusing capacity for carbon monoxide

Question 10

What is the BORG score?

Answer 10

0 to 10 rated numerical score used to measure dyspnea as reported by the patient during submaximal exercise and is routinely administered during six-minute walk testing (6MWT)

Question 11

Give signs of systemic autoimmune disease?

Answer 11

Arthralgia
Raynaud
Skin changes
Photosensitivity

Question 12

Does IPF have good prognosis?

Answer 12

No.

Shorter survival than cancer

Question 13

IPF pharmacologycal therapy

Bonus- MOA

Answer 13

Nintedanib

small molecule tyrosine-kinase inhibitor

Question 14

Which ILD has the worse prognosis?

Answer 14

IPF

Question 15

Which ILD has the best prognosis?

Answer 15

Non-IPF ILD

Question 16

Who is in the diagnostic team for ILD?

Answer 16

Pulmonologist
Radiologist
Pathologist