ILD

Question 1

ILD Presentation

Answer 1

Dry cough, SOB, fatigue, weight loss

Question 2

ILD Risk factors

Answer 2

Autoimmune diseases: RA, lupus
FmHx, smoking, radiotherapy, methotrexate
Asbestos / silica / coal dust

Question 3

ILD Investigations

Answer 3

Spirometry: restrictive
HRCT: honeycombing
Bronchoscopy +/- biopsy
Bloods: ANA, RF, anti-CCP, ANCA. FBC

Question 4

ILD Treatment

Answer 4

Avoid exposures (quit smoking)
Pulmonary rehab
Idiopathic: antifibrotics (nintedanib, pirfenidone)
Steroids if autoimmune/exacerbation
Lung transplant, long term O2 therapy?

Question 5

ILD Complications

Answer 5

SE of medications, compliance
Lung cancer, heart failure, chest infections
Hospital admissions?

Question 6

ILD Progress / Review

Answer 6

Vaccinations: influenza, COVID, pneumococcus
How many admissions in past year
Target O2 sats
Progress compared to last year
Stable, worse or better