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diagnosis differential lung pulmonary diseases management amiodarone boop dyspnea induced organizing pneumonia primarycare sob toxicity toxicology
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Pneumonia (COP) ... Unknown • 6-7 cases ... life • History: cough ... organizing pneumonia, Chronic ... BOOP #pulmonary #ILD
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... pneumonia (NSIP), Cryptogenic ... organizing pneumonia (COP ... pneumonia: Acute, Chronic ... differential #pulmonary #causes
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis Algorithm ... progressive dyspnea and cough ... Beomycin • Acute or Chronic ... Lung #Diseases #ILD
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... • Asthma • COPD ... Neoplasm Pulmonary Interstitium ... • ILD • CHF ... #Causes
Causes of Chronic Cough - Differential Diagnosis Algorithm Abnormal Chest X-Ray: • Chronic Infection (Eg. Fungal, Tuberculosis)
Causes of Chronic ... Diagnosis Algorithm ... Neoplasm • CHF • Interstitial ... • Asthma • COPD ... #Causes #PrimaryCare
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
• Chronic toxicity ... (e.g., chronic ... Non-productive cough ... Exclusion of other ILDs ... LDH • ↑ ESR, CRP
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