Condition Info - BotMed Application

ConditionName

Interstitial Lungs Disease

ConditionDescription

Inflammatory process involving the alveolar wall resulting in wide spread of irreversible fibrosis distortion of lung architecture and impaired gas exchange

Symptoms

Dyspnea; Non productive cough;
Fatigue; History of RA, systemic sclerosis, SLE;

Progressive exercise intolerance;
Dyspnea;

PhysicalFindings

Dry crackles;
JVD;
Tachypnea;
Possible digital clubbing;

ClinicalTests

UA;
ANA;
RF;
xRay: Ground glass;
CT better compare with x-ray;;
Biopsy - gold standard, but not required for every pt:
Fibrosis – shows stage of the dz;
Spirometry - how bad is situation? 

xRay and CT – best initial tests (honeycomp);

PFT:
Restrictive lung dz
↓TLC
↓FRC
↓RV
Decreased TLC, VC and normal or increased FEV1/FVC ratio;

Lavage: Neutrophils;

Loss of parenchymal architecture;

RiskFactors

>50 y/o;
Pulmonary hypertension;

IsRedFlag

IsNPLEX

Consequence

Inflammatory process involving the alveolar wall resulting in wide spread of irreversible fibrosis distortion of lung architecture and impaired gas exchange

ProgressionFromCondition

Drugs (amiodarone, nitrofurantoin, phenytoin);
Radiation on thoracic area;
Occupations (berylliosis..);
Mold exposure (farmer’s lungs);

TreatmentOptions

Lung transplantation;

PharmOptions

Sildenafil;
Steroids;
Antibiotics;

WebLink

https://www.merckmanuals.com/en-ca/professional/pulmonary-disorders/interstitial-lung-diseases/overview-of-interstitial-lung-disease