OnlineMedEd: Pulmonology - "DPLD" Flashcards Preview

Adult Ambulatory Care / Rural & Community Care > OnlineMedEd: Pulmonology - "DPLD" > Flashcards

Flashcards in OnlineMedEd: Pulmonology - "DPLD" Deck (10):
1

What is DPLD?

Diffuse Parenchymal Lung Disease

This is the new name for interstitial lung disease.

2

Describe the typical presentation of DPLD?

• Chronic, insidious hypoxemic lung disease (years-long development of SOB)
• Dry cough
• Crackles on exam
• Restrictive lung pattern on PFTs

3

VATS is _______________.

video-assisted thoracoscopic surgery

4

The definitive diagnosis of DPLD is with _______________.

biopsy of the lungs through VATS

5

Regardless of the etiology, the mainstay of treatment for DPLD is ______________.

steroids

6

Give the diagnosis of DPLD based on time.

• Less than 6 weeks: acute interstitial pneumonitis (AIN)
• Greater than 6 weeks: idiopathic pulmonary fibrosis (IPF)

7

List three rheumatologic conditions that can cause pulmonary fibrosis.

• Systemic lupus erythematosus
• Rheumatoid arthritis
• Systemic sclerosis

8

Break down the categories of causes of DPLD.

• Drug-induced: bleomycin, amiodarone, radiation, methotrexate
• Rheumatologic: RA, SLE, and SS
• Primary: sarcoidosis
• Environmental: pneumoconiosis (coal, silicosis, berylliosis), hypersensitivity pneumonitis, asbestosis

9

Cardiac sarcoidosis is diagnosed by _______________.

cardiac MRI (showing inflammation) followed by endocardial biopsy

10

Why is hypersensitivity pneumonitis an important diagnosis to make?

It is antigen-mediated. The symptoms go away when the person is no longer exposed to the causative factor (barn dust, birds), so treatment is with removal of the agent.

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