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differential pulmonary clinical ctchest diseases dyspnea management radiology radiologyassistant acuteinterstitialpneumonia aip amiodarone autoimmune bilateral blines boop chronic cop cryptogenic findings
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... ILD caused by inhalation ... lung disease (RB-ILD ... #ILD #diagnosis ... differential #pulmonary #causes
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis ... Interstitial Pneumonia ... #ILD #Causes #Differential ... #Diagnosis #Algorithm
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
BOOP • Type of interstitial ... Unknown • 6-7 cases ... - Diagnosis: ... BOOP #pulmonary #ILD ... #diagnosis #management
Approach to the diagnosis of chronic hypersensitivity pneumonitis. *Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... tomography; UIP = usual interstitial ... pneumonia. ... #algorithm #HP ... #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
The idiopathic interstitial ... pneumonias (IIPs ... indicates unknown cause ... #Diagnosis #Radiology ... #ILD #Findings
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pulmonary edema, ARDS, interstitial ... lung disease, interstitial ... NOT definitively diagnose ... #ultrasound
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 Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Limitation • Interstitial ... lung disease ... Malformation • Severe Pneumonia ... #Algorithm #Causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Pulmonary Alveoli • Pneumonia ... Neoplasm Pulmonary Interstitium ... • ILD • CHF ... #Algorithm #Causes
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Parenchyma: • Pneumonia ... • Cancer • Interstitial ... lung disease Vasculature ... #Algorithm #Causes
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... pneumonitis Diagnosis ... Exclude other causes ... Exclusion of other ILDs
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