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criticalcare copd fungal abnormal abnormalities acquired aecopd algorithm amiodarone breathing bronchiectasis cap challenges clinical coccidioides coccidioidomycosis community comparison differential empyema
COPD Physical Exam Likelihood Ratios Barrel Chest - LR 1.5 Pursed Lip Breathing - LR 2.7 Reduced breath sounds
Ratios Barrel Chest ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... from below vocal cords ... Pseudo-hemoptysis = upper respiratory ... #Management #treatment ... #workup #pulmonary
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... for alternate diagnoses ... 2 (or complete respiratory ... #Exacerbation #treatment ... #pulmonary
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Physical stigmata of cor ... parenchyma Diagnosis ... high-resolution chest ... mycobacteria Treatment
Empyema Necessitans (EN) on Chest Wall Physical Examination Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... drain - What’s the diagnosis ... Fusobacterium Treatment ... #PhysicalExam # ... #respiratory
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 Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Pneumonia (CAP) - Diagnosis ... and Management ... • Pleuritic chest ... #Management #treatment ... #Pulmonary #Community
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
presents with acute respiratory ... aches, joint pain, chest ... spores into the respiratory ... Begins in the respiratory ... #Management #Infections
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
disease, pleuritic chest ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormalities #Abnormal #Diagnosis ... #PhysicalExam
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... toxicity (e.g., acute respiratory ... Pleuritic chest ... macrophages Treatment ... #diagnosis #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... blood flow in the chest ... • PULMONARY A ... Tolerance #testing #diagnosis ... comparison #challenges #management
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