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diagnosis differential causes algorithm eosinophilic abnormal abnormalities asthma bluebloaters bpap breathing chronic cpap criticalcare diseases eosinophilia indications lung management nippv
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... , Dyspnea, Wheeze ... , Dyspnea, Symptoms ... #COPD #comparison ... #Diagnosis #pulmonary
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
- Tamponade Pulmonary ... • Airways: - Asthma ... - COPD - Bronchiectasis ... Hepatopulmonary syndrome ... #sob #differential
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic Dyspnea ... Acute Coronary Syndrome ... Obstruction • Asthma ... • COPD • Bronchiectasis ... #SOB #Differential
Pediatric Dyspnea - Differential Diagnosis Algorithm Stridor: • Croup • Foreign Body • Tracheitis • Epiglottitis •
Laryngospasm Wheeze: • Asthma ... Pneumonia • Asthma ... Ketoacidosis • Pulmonary ... #SOB #ShortnessOfBreath ... Algorithm #Causes #Peds
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
45yo, F; Hx of asthma ... Weeks) - Hx of asthma ... Hypereosinophilic Syndrome ... Lung #Diseases #pulmonary ... differential #diagnosis #comparison
Eosinophilic Pneumonia When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
hx - Fever+, Cough ... +, Dyspnea+, Pleuritic ... tobacco hx, >60% asthma ... - Progressive SOB ... + Cough + Constitutional
COPD phenotypes: Blue Bloaters vs. Pink Puffers The two most stereotypical forms of COPD are pink
causing chronic dyspnea ... is similar to asthma ... have an overlap syndrome ... syndrome. ... #BlueBloaters #Comparison
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 Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... edema) • COPD ... failure (ie.. asthma ... for increased WOB ... , dyspnea NIPPV
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
hyperventilation syndrome—a ... common cause of dyspnea ... Causes include asthma ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary
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