Interstitial Lung Diseases

At Parkland, we discussed interstitial lung diseases – they can be tough to diagnose, but Dr. Gulati may help you make the diagnosis:

Diagnostic Tools in Patients with Suspected Interstitial Lung Disease History

  • Age
    • >50 years: Idiopathic Pulmonary Fibrosis, Cryptogenic Organizing Pneumonia (BOOP)
    • 20-40 years: Sarcoidosis, Connective Tissue Disease Associated ILD, Sarcoidosis, Lymphangioleimyomatosis, Pulmonary Langerhans Cell Histiocytosis
  • Gender
    • Female: Connective Tissue Disease Associated ILD; Lymphangioleiomyomatosis
    • Male: Occupational – Pneumoconiosis; Idiopathic Pulmonary Fibrosis
  • Family History: Connective Tissue Disease Diagnosis or Symptoms
  • Exposures
    • Occupational Exposures
    • Environmental Exposures
    • Drugs
    • Smoking
  • Physical Examination
    • Lung Exam (ie.crackles, wheeze)
    • Clubbing
    • Signs of cor pulmonale
    • Extrapulmonary signs
  • Laboratory Testing
    • Routine blood work (CBC, Chemistries, Liver function tests)
    • Rheumatologic serologies
    • Hypersensitivity pneumonitis panel
  • Pulmonary Function Testing
    • Spirometry
    • Lung Volumes
    • Diffusing capacity
    • Resting and ambulatory oxygen saturation
    • Six minute walk distance
    • Arterial blood gas
  • Imaging
    • Chest radiograph
    • High Resolution Chest CT Scan
  • Biopsy
    • Bronchoscopy
    • Surgical Lung Biopsy

ILD

Prim Care Respir J 2011; 20(2): 120-127