Flashcards in OnlineMedEd: Pulmonology - "DPLD" Deck (10):
What is DPLD?
Diffuse Parenchymal Lung Disease
This is the new name for interstitial lung disease.
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
VATS is _______________.
video-assisted thoracoscopic surgery
The definitive diagnosis of DPLD is with _______________.
biopsy of the lungs through VATS
Regardless of the etiology, the mainstay of treatment for DPLD is ______________.
Give the diagnosis of DPLD based on time.
• Less than 6 weeks: acute interstitial pneumonitis (AIN)
• Greater than 6 weeks: idiopathic pulmonary fibrosis (IPF)
List three rheumatologic conditions that can cause pulmonary fibrosis.
• Systemic lupus erythematosus
• Rheumatoid arthritis
• Systemic sclerosis
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
Cardiac sarcoidosis is diagnosed by _______________.
cardiac MRI (showing inflammation) followed by endocardial biopsy