Diagnosis of IPF, Focus on Decision to Obtain Biopsy
Drs. Maryl Kreider, Kevin Flaherty, Jesse Roman, and Kevin Gibson discuss a case of IPF diagnosis in a 69-year-old man, with a focus on the ultimate decision to send the patient for biopsy. In some cases a decision about diagnosis and treatment in the absence of histology may be appropriate, especially when a patient's comorbidities, age, or other problems are considered and additional problems caused by the patient undergoing a surgical procedure can be prevented. In this case, an assessment of the patient prior to the decision to obtain a biopsy is first reviewed, followed by a discussion of the factors leading up to the decision to obtain a biopsy.