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differential pulmonary covid19 diseases eosinophilia signs algorithm amiodarone autoimmune bilateral blines chestct clinical comparison eosinophilic features fever findings induced intermittent
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
a.k.a. extrinsic allergic ... ILD caused by inhalation ... Churg Strauss syndrome ... #diagnosis #differential ... #pulmonary #causes
Eosinophilia - Differential Diagnosis Algorithm Idiopathic Eosinophilia Primary Eosinophilia: • Primary hypereosinophilic syndrome • Eosinophilic Leukemia • MPN/MDS
- Differential Diagnosis ... GI, lung, skin), ... eosinophilia) • Infectious ... , Eosinophilic pneumonia ... IBD Stanford Internal
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
Lung POCUS Young ... POCUS lung exam ... interstitial diffuse infections ... NOT definitively diagnose ... #ultrasound
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 COVID-19 Findings on Lung ultrasound - Thickened pleural line - B lines (multifocal, discrete, or confluent)
ultrasound - ... infection; alveolar ... interstitial syndrome ... #ultrasound #POCUS ... #Diagnosis #Signs
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Ultrasound Findings ... pleura reflection) Pneumonia ... Respiratory Distress Syndrome ... #differential #diagnosis ... #signs #Lung #POCUS
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
to Eosinophilic Lung ... loss, malaise • Allergic ... Hypereosinophilic Syndrome ... , CNS, skin • Infectious ... #differential #diagnosis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
- Differential Diagnosis ... Causes: • Still's ... fever • Hyper-IgD ... Brucellosis • Liver or lung ... #Differential #Diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... respiratory distress syndrome ... Exclude other causes ... failure - Infectious ... Exclusion of other ILDs
CT and ultrasonographic features of COVID-19 pneumonia Lung CT: - Thickened pleura - Ground glass shadow and
features of COVID-19 pneumonia ... ultrasound - ... infection; alveolar ... interstitial syndrome ... #POCUS #features
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Tenderness → Consider infectious ... Anti-MDA5 (RP-ILD ... of aspiration pneumonia ... of aspiration pneumonia ... statins - probably caused
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