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diagnosis pulmonary rheumatology chronic cxr management radiology radiologyassistant vasculitis autoimmune boop classification consolidation cough cryptogenic dyspnea ild lobar multifocal myopathy
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... there are four patterns ... low attenuation (table ... seen and in many cases ... #Pattern #Differential
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
- Pus - exsudate ... to look at the pattern ... more than one pattern ... lobar pneumonia caused ... called cryptogenic (COP
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Unknown • 6-7 cases ... consolidation and GG pattern ... other processes Workup ... workup: ANA, RF ... Pulmonary lymphoma, Diffuse
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Dyspnea - Differential ... Diagnosis Algorithm ... Neoplasm Pulmonary Interstitium ... • ILD • CHF
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... EGPA • ESR and CRP ... Goodpasture's cause ... hemorrhage (DAH) • Diffuse ... • IF staining patterns
Causes of Chronic Cough - Differential Diagnosis Algorithm Abnormal Chest X-Ray: • Chronic Infection (Eg. Fungal, Tuberculosis)
Causes of Chronic ... Abnormal Chest X-Ray ... • Neoplasm • CHF ... • Interstitial ... • Asthma • COPD
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... inflammatory lesions-interstitial ... • ANA (Suggest CTD ... - (C-ANCA) pattern ... - (P-ANCA) pattern
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Elevated ESR and CRP ... matter changes ... tract, and often causes ... inflammatory lesions - interstitial
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... slow onset and pattern ... aspiration > 50% of pts ... statins - probably caused ... #rheumatology #differential
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