#221 Interstitial Lung Disease with Erin Narewski DO - Breathtaking knowledge and other words of inspiration | The Curbsiders Internal Medicine Podcast

Interstitial lung disease (ILD) diagnosis and management are explored, emphasizing that most ILD is not idiopathic pulmonary fibrosis (IPF). Dr. Erin Narewski guides listeners through the various "buckets" of ILD, including connective tissue diseases, sarcoidosis, hypersensitivity pneumonitis, and drug-induced ILD, stressing the importance of a detailed patient history. The discussion covers diagnostic tools like high-resolution CT scans and pulmonary function testing, highlighting that patterns are not diagnoses. Management strategies include antigen avoidance, anti-inflammatory medications, and antifibrotics like nintetanib and perfenadone, with palliative care and pulmonary rehab playing crucial roles in patient care. The case of "Al Violi," diagnosed with chronic hypersensitivity pneumonitis due to avian exposure, illustrates the diagnostic and therapeutic process.

Outlines

Part 1: Introduction, Career, and Case Presentation

Part 2: ILD Definitions, Categories, and Clinical History

Part 3: Diagnostic Workup and Imaging

Part 4: Treatment, Management, and Key Takeaways

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#221 Interstitial Lung Disease with Erin Narewski DO - Breathtaking knowledge and other words of inspiration

The Curbsiders Internal Medicine Podcast

Part 1: Introduction, Career, and Case Presentation

Introduction to Dr. Narewski and Discussion on Career-Changing Failures

Embracing Agility and Introducing the Case of Albert Violi

Part 2: ILD Definitions, Categories, and Clinical History

Differentiating Interstitial Lung Disease and Categorizing its Causes

Historical Clues and Symptom Prompting for Interstitial Lung Disease

Drug-Induced ILD, Physical Exam Findings, and Connective Tissue Disease Signs

Part 3: Diagnostic Workup and Imaging

Patient History, Down Pillows, and the Importance of High-Resolution CT Scans

Radiation Exposure, Initial Lab Workup, and Pulmonary Function Testing

Interpreting High-Res CT Scans and the Role of Multidisciplinary Committees

Part 4: Treatment, Management, and Key Takeaways

Biopsy Considerations, Treatment Options, and Anti-Fibrotic Medications

Palliative Care, Pulmonary Rehab, and GERD Association in ILD

Diagnosing Hypersensitivity Pneumonitis and Take-Home Points on ILD

Outro and Continuing Education Credits

#221 Interstitial Lung Disease with Erin Narewski DO - Breathtaking knowledge and other words of inspiration

The Curbsiders Internal Medicine Podcast

Part 1: Introduction, Career, and Case Presentation

00:58Introduction to Dr. Narewski and Discussion on Career-Changing Failures

Introduction to Dr. Narewski and Discussion on Career-Changing Failures

07:35Embracing Agility and Introducing the Case of Albert Violi

Embracing Agility and Introducing the Case of Albert Violi

Part 2: ILD Definitions, Categories, and Clinical History

11:12Differentiating Interstitial Lung Disease and Categorizing its Causes

Differentiating Interstitial Lung Disease and Categorizing its Causes

16:10Historical Clues and Symptom Prompting for Interstitial Lung Disease

Historical Clues and Symptom Prompting for Interstitial Lung Disease

23:07Drug-Induced ILD, Physical Exam Findings, and Connective Tissue Disease Signs

Drug-Induced ILD, Physical Exam Findings, and Connective Tissue Disease Signs

Part 3: Diagnostic Workup and Imaging

29:04Patient History, Down Pillows, and the Importance of High-Resolution CT Scans

Patient History, Down Pillows, and the Importance of High-Resolution CT Scans

34:25Radiation Exposure, Initial Lab Workup, and Pulmonary Function Testing

Radiation Exposure, Initial Lab Workup, and Pulmonary Function Testing

42:02Interpreting High-Res CT Scans and the Role of Multidisciplinary Committees

Interpreting High-Res CT Scans and the Role of Multidisciplinary Committees

Part 4: Treatment, Management, and Key Takeaways

47:05Biopsy Considerations, Treatment Options, and Anti-Fibrotic Medications

Biopsy Considerations, Treatment Options, and Anti-Fibrotic Medications

52:50Palliative Care, Pulmonary Rehab, and GERD Association in ILD

Palliative Care, Pulmonary Rehab, and GERD Association in ILD

57:01Diagnosing Hypersensitivity Pneumonitis and Take-Home Points on ILD

Diagnosing Hypersensitivity Pneumonitis and Take-Home Points on ILD

1:02:24Outro and Continuing Education Credits

Outro and Continuing Education Credits