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Pulmonary Function Tests in ILD

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#ILD #interstitial #lung #disease
Pulmonary Function ... Tests in ILD ... #interstitial #lung ... #Function #Tests ... #PFTs #diagnosis
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
• Idiopathic pulmonary ... Churg Strauss syndrome ... Acute, Chronic • Pulmonary ... #diagnosis #differential ... #pulmonary #causes
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... Consider additional test ... Consider additional test ... #pneumonitis #pulmonary ... #HP #ILD
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... hypertension; CXR, chest ... , chronic lung disease ... liver function test ... #Diagnosis #Peds
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct pulmonary ... leading into a lung ... #Pulmonary #diagnosis ... #radiology #clinical
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... sarcoidosis, mets to the lung ... Halo #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
, pulmonary congestion ... due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis ... Correlation #Table #ILD
Pulmonary Function Tests (PFTs) - Interpretation Algorithm
 • Normal
 • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia
 • Chest
Pulmonary Function ... Tests (PFTs) - ... Carboxyhemoglobinemia • Chest ... • Interstitial Lung ... Interpretation #Algorithm #diagnosis
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... edema #Diagnosis ... #Radiology #Pulmonary
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
extending to the lung ... bronchiectasis, CF, ILD ... ABPA Kartagener's syndrome ... #Pulmonary #diagnosis ... #radiology #clinical