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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

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

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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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