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differential pulmonary clinical covid19 radiology signs acuteinterstitialpneumonia aip algorithm amiodarone autoimmune bilateral blines chestct ctchest diseases failure features findings hypoxemia
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 ... Churg Strauss syndrome ... #ILD #diagnosis
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 ... Hypoventilation Syndrome
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 ... lung disease, interstitial ... NOT definitively diagnose ... #ultrasound
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 Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... : Interstitial lung ... • Causes: Pneumonia ... hepatopulmonary syndrome ... #Differential #Diagnosis
COVID-19 Findings on Lung ultrasound - Thickened pleural line - B lines (multifocal, discrete, or confluent)
ultrasound - ... infection; alveolar interstitial ... syndrome is the ... #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
Pneumonia on POCUS Otherwise healthy 12mo-old w/ fever. Linear & phased array viewing the lung (subpleural &
Pneumonia on POCUS ... Otherwise healthy 12mo-old ... >1cm, supports diagnosis ... no significant hypoxia ... #lung #ultrasound
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 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
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 is the ... #POCUS #features
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... pneumonia (AIP, ... rare idiopathic lung ... respiratory distress syndrome ... suggestive of the diagnosis
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