12. interstitielle Lungenparenchymerkrankungen Flashcards by Ian Paglione

Q

(ILD)

Ätiologien (Häufigkeit)

A

50% IIP
50% sekundär

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Q

(ILD)

IIP

A

Idiopatische Interstitielle Pneumonie

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Q

(ILD)

häufigste IIP

A

IPF

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Q

(ILD)

IPF

A

Idiopatische Pulmonale Fibrose

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Q

(ILD)

sekundäre Ätiologien (3)

A

medikamentös
inhalative Noxen
systemische Erkrankungen

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Q

(ILD)

Pathophysiologie

A

Lungenfibrose

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Q

(ILD)

Komplikationen (2)

A

Cor pulmonale
respiratorische Insuffizienz

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Q

(ILD)

Leitsymptome (2)

A

progrediente Belastungsdyspnoe
trockener Reizhusten

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Q

(ILD)

Inspektionsbefunde (2)

A

Trommelschlägelfinger
Uhrglasnägel

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Q

(ILD)

Auskultationsbefund

A

Sklerosiphonie

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Q

(ILD)

Sklerosiphonie

A

beidseitig basales inspiratorisches Knisterrasseln

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Q

(ILD)

Labordiagnostik

A

BGA

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Q

(ILD)

BGA: Befund

A

↓ pO2

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Q

(ILD)

Bildgebung: Planung (2)

A

Röntgen-Thorax
HR-CT-Thorax

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Q

(ILD)

HR-CT

A

High-Resolution-CT

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Q

(ILD)

radiografischer Befund

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A

retikuläre Zeichnungsvermehrung

Q

(ILD)

tomografische Befunde (2)

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A

Honigwabenmuster
Bronchiektasen

Q

(ILD)

apparative Diagnostik (2)

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A

Spirometrie
BAL mit Bipsie

Q

(ILD)

Spirometrie: Befund

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A

restriktive Ventilationsstörung

Q

(ILD)

restriktive Ventilationsstörung: Charakteristik (3)

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A

↓ Vitalkapazität
↓ ↔︎ FEV1
↔︎ Tiffeneau-Index

Q

(ILD)

Therapieplanung

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A

nicht-medikamentös
medikamentös

Q

(ILD)

nicht-medikamentöse Therapie der Wahl

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A

pulmonale Reabilitation

Q

(ILD)

medikamentöse Therapie der Wahl

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A

Glucocorticoide + Antifibrotika

Q

(ILD)

Glucocorticoide: Indikation

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A

bei Exazerbationen

(ILD) Antifibrotika: Indikation

bei schweren Verläufen

(ILD) Antifibrotika: Wirfstoffe (2)

- Pirfenidon - Nintedanib

(ILD) Pirfenidon: Klasse

TGF-β1-Antagonist

(ILD) Nintedanib

TKI