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diagnosis lung management differential rheumatology signs ultrasound amiodarone boop cancer carcinoma cardiology causes clinical complex cryptogenic echocardiogram erythematosus evaluation findings
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
with CTD, drugs, malignancy ... Rare: pleural effusions ... lymphoma, Diffuse ... • Moderate: oral ... #BOOP #pulmonary
Causes of Hemoptysis - Differential Diagnosis Algorithm Massive Hemoptysis (>I00 mL in 24 hours) • Malignancy •
Differential Diagnosis Algorithm ... 24 hours) • Malignancy ... Malformation Normal ... • Bronchitis Diffuse ... Tuberculosis • Fungal Malignancy
Malignant Complex Pleural Effusion on Lung POCUS You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex ... on Lung POCUS ... off) bleeding on top ... of malignant effusion ... #Lung #POCUS #Pulmonary
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 Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Possible small plural effusion ... Possible bilateral effusion ... lung sliding COPD ... submassive PE) POCUS ... #signs #Lung #POCUS
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
sedimentation rate + Normal ... Infections • Malignancy ... Lungs: • Pleural effusions ... pneumonitis • Diffuse ... enteropathy, and diffuse
Diffuse Systemic Sclerosis (Scleroderma) - Pulmonary Fibrosis -> Crackles, Abnormal CXR - Pulmonary Hypertension, Right Heart
Diffuse Systemic ... Scleroderma) - Pulmonary ... CXR - Pulmonary ... > diarrhea - Malignant ... Renal Failure - Mask
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
exudative pleural effusions ... • Patchy or diffuse ... embolism - Malignancy ... LDH • ↑ ESR, CRP ... Eosinophilia • Normal
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Malignant RV Mass ... Normal work up including ... ventricle suggesting pulmonary ... was metastatic pulmonary ... Post-op course initially
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... neuroexam - Oral ... event, follow ACC algorithm ... days before Pulmonary
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Disease: • 10%-15% Pulmonary ... thickening or effusion ... , INC risk PE, Pulmonary ... phenomenon (16%) MSK ... and Arthritis Malignancy
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