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diagnosis pulmonary differential pocus clinical management effusion hypoxemia hypoxia ild organizing alines amiodarone blines comparison complex cop coronavirus covid19 cryptogenic
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
• formerly BOOP ... Unknown • 6-7 cases ... Rare: pleural effusions ... , pleural thickening ... , Chronic eosinophilia
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Pulmonary Pathology ... Ultrasound Findings ... A-lines (parietal pleura ... reflection) Pneumonia ... in severe cases
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis Algorithm ... histiocytosis (PLCH) • Eosinophilic ... Diseases #ILD #Causes ... Differential #Diagnosis #Algorithm
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Differential Diagnosis Algorithm ... Parenchyma: • Pneumonia ... • Interstitial lung ... #Causes
Notice that there are multiple densities in both lungs. The larger ones are ill-defined and maybe there
densities in both lungs ... multiple ill-defined masses ... There was no eosinophilia ... also known as BOOP ... OrganizingPneumonia #BOOP
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... • Interstitial lung ... Malformation • Severe Pneumonia ... Neuromascular Weakness • Pleural
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Differential Diagnosis Algorithm ... Pneumonectomy • Trapped lung ... Infectious: • Pneumonia ... #Hepatology #causes
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Response Management Algorithm ... - Upper airway pathology ... hemorrhage • Pus: pneumonia ... COPD/asthma • Pleural ... atelectasis • Lung
COVID19 vs CHF on POCUS Spot the difference. 2 pts presenting with nearly same symptoms. Left COVID
Left COVID pneumonia ... spared areas, pleural ... lines due to other causes ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
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 A-Lines vs B-Lines on Lung POCUS A-Lines: • Predominately horizontal lines • A-lines are repeated horizontal &
equidistant from the pleura ... come from the pleura ... pulmonary edema, ARDS, pneumonia ... and other pathology ... - MCW EM Ultrasound
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