The Intern At Work: Internal Medicine 108. Scars that Don't Fade - Pulmonary Fibrosis
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Sep 26, 2021 Dr. Aninditee Das, Dr. Karen Geukers, and Dr. Marco Mura discuss pulmonary fibrosis, covering its history, pathology, management, treatment options, lung transplantation, and managing acute exacerbations in patients. The episode provides insights into the approach to patients with suspected pulmonary fibrosis.
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How Pulmonary Fibrosis Develops
- Pulmonary fibrosis begins with injury to alveolar epithelium from toxins, viruses, or autoimmune triggers.
- Fibroblasts cause fibrin deposits that contract and stiffen lungs, impairing oxygen exchange.
Idiopathic Pulmonary Fibrosis Overview
- Idiopathic pulmonary fibrosis (IPF) is the most common interstitial lung disease without a known cause.
- IPF progresses rapidly with lung function declining much faster than normal aging lungs.
Assess Patient Stability First
- Always assess patient stability first by checking GCS, ABCs, vitals before proceeding.
- Respiratory failure can occur acutely in pulmonary fibrosis, especially during exacerbations.