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differential pulmonary diseases dyspnea interstitial acuteinterstitialpneumonia aip allergy amiodarone autoimmune cancer chronic clinical ctchest effusion eosinophilia fever findings hepatology hyponatremia
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 ... Churg Strauss syndrome ... #diagnosis #differential ... #pulmonary #causes
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis ... Algorithm Idiopathic ... #Diseases #ILD ... #Diagnosis #Algorithm
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Algorithm Transudate ... Pneumonectomy • Trapped lung ... Infectious: • Pneumonia ... #causes
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... • Interstitial lung ... Malformation • Severe Pneumonia ... Hypoventilation Syndrome ... #Algorithm #Causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Acute Coronary Syndrome ... Pulmonary Alveoli • Pneumonia ... Interstitium • ILD ... #Algorithm #Causes
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Superior vena cava syndrome ... Parenchyma: • Pneumonia ... • Interstitial lung ... #Algorithm #Causes
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Ultrasound Findings ... pleura reflection) Pneumonia ... pleura in severe cases ... Respiratory Distress Syndrome ... #differential #diagnosis
Eosinophilia - Differential Diagnosis Algorithm Idiopathic Eosinophilia Primary Eosinophilia: • Primary hypereosinophilic syndrome • Eosinophilic Leukemia • MPN/MDS
- Differential Diagnosis ... Algorithm Idiopathic ... GI, lung, skin), ... , Eosinophilic pneumonia ... IBD Stanford Internal
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... respiratory distress syndrome ... Exclude other causes ... Exclusion of other ILDs
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
- Differential Diagnosis ... Non-Infectious Causes ... fever • Hyper-IgD ... Brucellosis • Liver or lung ... #Differential #Diagnosis
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