ILD - Ix + Tx

Question 1

General investigations for interstitial lung disease of unknown origin;
Bloods: FBC, ?/? if suspecting CTDs.
CXR: ? lung volume, bilateral ?-? shadowing.
High-resolution CT: more ?, essential for ?.
o ‘?’ is seen on CT.
Spirometry: ? deficit, reduced gas ?.

Answer 1

RF/ANA
reduced
reticulo-nodular
sensitive
Dx
honeycombing
restrictive
exchange

Question 2

Further investigations;
Bronchoalveolar ?: may indicate disease ? in IPF / EAA.
Lung ?: via bronchoscopy or ?, only if diagnosis is uncertain.

Answer 2

lavage
activity
biopsy
surgical

Question 3

General management of interstitial lung disease;
Many cases will be ? to treatment.
20% respond to long courses of ?, tapered ?.
Some patients will be suitable for ? ?

Answer 3

unresponsive
pred
down
lung transplant