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Cystic Fibrosis
Cystic Fibrosis
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Video Transcription
Video Summary
Holly Keat from the University of Texas Health in San Antonio presented a board review on cystic fibrosis, focusing on epidemiology, pathophysiology, diagnosis, management, and complications. Cystic fibrosis is a rare genetic disease affecting about 30,000 people in the US and 100,000 worldwide, most prevalent in North America, Europe, and Australia. The disease is caused by mutations in the CFTR gene on chromosome 7, leading to defective chloride transport. Diagnosis includes newborn screening and genetic testing. Management involves a multidisciplinary approach, including CFTR modulator therapies like ivacaftor and tezacaftor, targeting specific mutations like Delta F508. Common complications include exacerbations, hemoptysis, pneumothorax, infections such as aspergillus and NTM, and advanced lung disease. Treatment strategies, such as bronchodilators, airway clearance, and antibiotics, aim to improve lung function and quality of life. Advanced lung disease may necessitate lung transplant evaluation. The advent of CFTR modulators has significantly improved survival and reduced the need for lung transplants in patients with cystic fibrosis.
Meta Tag
ABIM blueprint - Pulmonary
Obstructive Lung Disease
Concept
Cystic Fibrosis
Concept
CFTR Chloride Channel
Concept
Sweat Chloride Test
Concept
Pulmonary Exacerbation
Concept
CFTR Mutation
Curriculum Category
Obstructive Lung Disease
Faculty
Holly L. Keyt, MD, FCCP
Keywords
cystic fibrosis
CF
CFTR gene
genetic testing
CFTR modulators
Delta F508
lung transplant
airway clearance
Obstructive Lung Disease
Cystic Fibrosis
CFTR Chloride Channel
Sweat Chloride Test
Pulmonary Exacerbation
CFTR Mutation
Holly L. Keyt, MD, FCCP
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