Exam (elaborations)

ICP EXAM 2, ICP Exam 2 Prescription Writing, Pain Management, Nutrition, Exercise, Gender Affirming Care, Pain Questions and Answers|Updated 2024

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ICP EXA 2, ICP Exa 2 Prescription Writing, Pain

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ICP EXAM 2, ICP Exam 2 Prescription Writing, Pain Management, Nutrition, Exercise, Gender Affirming Care, Pain|What is Interstitial Lung Disease (ILD)?, ILD arises from identified cause or idiopathic, what are some classifications of ILD? Connective Tissue Diseases, some ILDs are more common in wom...

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icp exam 2
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icp exam 2 icp exam 2 prescription writing pain
icp exam 2 icp exam 2 prescription writing

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ICP EXA 2, ICP Exa 2 Prescription Writing, Pain

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ICP EXAM 2, ICP Exam 2 Prescription Writing, Pain Management,
Nutrition, Exercise, Gender Affirming Care, Pain

What is Interstitial Lung Disease (ILD)? - Ans *Umbrella term* for heterogenous group
of disorders, characterized by *varying* patterns of *lung inflammation* and *fibrosis*

The term arises from the *histological* appearance that the *interstitium* is ab normal,
although the alveoli, airways, blood vessels, and pleura are often altered as well

ILD arises from - Ans identified cause or idiopathic

*3 MC*:
sarcoidosis
cryptogenic organizing pneumonia
idiopathic

many causes of ILD - connective tissue dis eases, treatment -related or drug -induced
diseases, primary and idiopathic diseases, occupational and environmental diseases,
inorganic disease, etc.

what are some classifications of ILD? - Ans Connective Tissue Diseases

Treatment -Related or Drug -Induced Diseases

Primary and Idiopathic Diseases

Occupational and Environmental Diseases

Inorganic

Organic

Bird breeder's/Farmer's lung

some ILDs are more common in women, such as - Ans those resulting from
*autoimmune* diseases, also known as *connective tissue disorders*

occupational exposure causes of ILD are more common in - Ans men

Most ILDs occur in people older than? - Ans 50 yrs of age

what are some common identifiable risk factors for ILD? - Ans environmental exposures
such as down, mold, silic one, and asbestos

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reactions to drugs such as chemotherapeutic agents, tyrosine kinase inhibitors,
amiodarone, and nitrofurantoin

radiation therapy

connective tissue disease including rheumatoid arthritis, scleroderma, and myositis

pathologic acid ref lux

both tobacco and drug use

some have increased genetic susceptibility

Concerning PE Findings for ILD? - Ans shortness of breath (especially with exertion)

cough (dry)

tachypnea

bibasilar end -inspiratory dry crackles

pulmonary hypertension

cyanosis

clubbing

ILD Hallmarks: - Ans *restriction* of lung volumes and reduced diffusing capacity
demonstrated by pulmonary function tests

potentially reversible unless fibrosis, once fibrosis occurs, restrictive patterns are
IRREVERSIBLE

Diffusion abnormalities can result from - Ans loss of functional capillaries from fibrosis

emphysema

pulmonary hypertension

what are granulomatous changes that may be seen? - Ans accumulation of T
lymphocytes, macrophages, and epithelioid cells into granulomas i n lung parenchyma

ILD Etiology - Ans lungs are constantly exposed to potentially noxious stimuli

lung injury leads to regeneration, repair, or remodeling responses that can result in
restoration of normal tissue, inflammation, or fibrosis
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alveolar epi thelial damage from repeated injuries promotes migration of inflammatory
cells into the lungs

if regeneration or repair of the epithelium fails, remodeling occurs

a fibrotic milieu promotes proliferation of fibroblasts and collagen deposition

ILD Differential - Ans ILD

Pneumoconiosis

HfpEf early heart failure

Long term bacteiral or early lung infection

PE

Ferri's is essentially the same but adds COPD, pulmonary HTN, metastatic malignancy,
and vasculitis

what is MDD? - Ans Multidisciplinary discussion, which is considered *standard of care*
to diagnose ILD

includes pulmonologist, radiologist, pathologist

they review exposure history, exam findings, PFTs, lab tests, and HRCT

surgical lung biopsy may be done and should be considered esp if diagnosis remains
unclear

ILD Workup/Diagnostics - Ans 1) History and physical (exposures, CTD, malignancies,
etc.)

2) Pulmonary function tests

3) Chest imaging
- Chest radiograph, Chest CT

4) Bronchoalveolar lavage

5) Lung biopsy
- Transbronchial biopsy, Open lungs

6) Video -assisted thorascopic surgery (VATS) biopsy

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Exam (elaborations)

ICP EXAM 2, ICP Exam 2 Prescription Writing, Pain Management, Nutrition, Exercise, Gender Affirming Care, Pain Questions and Answers|Updated 2024

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