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diagnosis algorithm lung ctchest differential diseases idiopathic pneumonia radiology radiologyassistant rheumatology amiodarone boop clinical comparison cop cryptogenic cxr druginduced fibrosis
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
computerised tomography; ILD ... = interstitial ... fibrosis; UIP = ... usual interstitial ... pneumonitis
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
Hypersensitivity pneumonitis ... ILD caused by inhalation ... Pneumonias: • ... Idiopathic pulmonary ... #causes
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... ) Usual Interstitial ... leaking out of pulmonary ... Chronic Radiation Pneumonitis ... Lung #Diseases #ILD
Approach to the diagnosis of chronic hypersensitivity pneumonitis. *Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis ... computed tomography; UIP ...  = usual interstitial ... #pulmonary #diagnosis ... algorithm #HP #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
pneumonias (IIPs ... indicates unknown cause ... findings of NSIP, UIP ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Unknown • 6-7 cases ... eosinophilia pneumonia, Pulmonary ... Pneumonia #COP #BOOP #pulmonary ... #ILD #diagnosis ... #management
On the left a chest film of a patient with UIP due to IPF. The findings on
reticular densities caused ... UsualInterstitialPneumonitis #Usual ... #Interstitial # ... Pneumonitis #Reticular ... #ILD #RadiologyAssistant
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
pneumonitis ... Exclude other causes ... Exclusion of other ILDs ... pneumonitis ... #diagnosis #management
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... Pneumonitis (LIP ... pneumonia • Usual ... , INC risk PE, Pulmonary ... Rheumatology #Diagnosis #Management
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
Prognosis: Usually mild ... Discontinuation of causal ... - Positive in up ... • Treatment: Usual ... therapeutic management
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