16
Jun
2014

Answer to Fridary Teaser 6/13

CONGRATULATIONS DR GOYAL FOR WINNING THE FIRST FRIDAY TEASER 🙂

 Answer is E

Review of the question:

This patient’s clinical presentation and CT imaging are consistent with the diagnosis of idiopathic pulmonary fibrosis (IPF), which is manifested histologically as usual interstitial pneumonitis (UIP). On microscopic examination, UIP is characterized by a heterogeneous appearance on low magnification with normal appearing alveoli adjacent to severely fibrotic alveoli. The typical clinical presentation of IPF/UIP is slowly progressive exertional dyspnea with a nonproductive cough. Clinical examination reveals dry crackles and digital clubbing. A high-resolution CT scan of the chest can be diagnostic, in the typical clinical situation of an older individual and shows subpleural pulmonary fibrosis that is greatest at the lung bases.

Here is a cool video on IPF  from QuantiaMDHere is also a nicePDF  summary on IPF (love this site you should register and check it out,will be using often on our blog)

 

AS ALWAYS PLEASE PROVIDE FEEDBACK ON HOW FRIDAY TEASERS CAN BE IMPROVED OR HOW WE CAN IMPROVE THE BLOG IN GENERAL.

HAVE A LOVELY WEEK 🙂

3 Responses

  1. Tammy Wichman

    Way to go Gaurav! Hope your interest in IPF persists. Lots of new agents being studied for IPF (read May29 NEJM). I think we are going to be seeing lots of new developments in the next decade for IPF (thankfully!) For now, send your patients to Dr. Morrow for early access to pirfenidone.

So, what do you think?

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