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Steps to diagnose ILD in practice - Dr. Sheetu Singh

Steps to diagnose ILD in practice - Dr. Sheetu Singh Find More Details in our website - www.drsheetusingh.com

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Steps to diagnose ILD in practice - Dr. Sheetu Singh

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  1. Getting to the base camp: how to approach a patient with ILD Dr Sheetu Singh Director, RHL Lung Center, Jaipur

  2. ILD

  3. Steps to diagnose ILD in practice Step 1: Suspect in OPD →Clinically Step 2: Confirm ILD →HRCT Step 3: Classify ILD →Re-review of history & other investigations

  4. Symptoms • Dyspnoea on exertion • Cough – usually dry • Loss of weight and appetite • Fatigue • Wheezing, hemoptysis, and chest pain (rare symptoms) Non specific

  5. ILD India registry AJRCCM 2017 How an ILD patient comes to us? (12%) (12%) Dyspnea 91% Cough 82% (18%) (26%) (29%) (82%) (91%)

  6. Physical examination • Clubbing • “Velcro rales” or “Basal crepitations” are common in most forms of ILD • Inspiratory squeaks: characteristic of hypersensitivity pneumonitis ILD registry patients Basal crepts 79%

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