Pre PACES Podcast #132 PP Interstitial lung disease
Feb 1, 2026
A focused walkthrough of interstitial lung disease exam scenarios and key respiratory findings. Short practical guidance on likely causes and targeted investigations. Discussion of clubbing and zone-specific fibrosis aetiologies. Overview of pulmonary function patterns and core management strategies including multidisciplinary care.
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Lead With Your Diagnosis
- Present your primary diagnosis early and clearly to show confidence and clinical pattern recognition.
- Use specific descriptors (e.g., "fine, inspiratory, basal crepitations") to support your diagnosis and earn marks.
Use Positive Findings To Narrow Differentials
- Highlight positive findings that narrow the differential, like clubbing and persistent fine crackles after cough.
- Mention relevant negative findings sparingly to rule out alternatives and focus the examiner.
Justify And Prioritize Investigations
- Justify investigations when you request them, describing why each test is useful.
- Prioritize high-resolution CT to define the ILD pattern and lung function tests to confirm restriction.