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diagnosis algorithm criticalcare cryptogenic differential noninvasive organizing acute boop bpap checklist chronic concentrations cpap dyspnea exacerbation failure gold gold2019 guidelines
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... workup for alternate ... CBC, vitamin D level ... newly diagnosed COPD ... MatthewHoMD #COPD
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
(COP) Cryptogenic ... 6th decades of life ... Anti-dsDNA, ANCA COP ... #COP #BOOP #pulmonary ... ILD #diagnosis #management
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Settings • CHF ... / Pulmonary Edema ... Settings • Pneumonia ... Respiratory #Failure #management
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... Acute: Trauma, COPD ... Pleural effusion, Pneumonia ... Chronic: Asthma, COPD ... poisoning, DKA, Fever
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
deep breathing Pulmonary ... • Asthma • COPD ... • Pneumonia ... • CHF • Pneumothorax ... • Temperature/FEVER
COPD Management Algorithm - GOLD 2019 guidelines Categorize into COPD GOLD A-D -> Initiate first-line therapy
COPD Management ... Categorize into COPD ... EXACERBATIONS COPD ... pharmacotherapy of COPD ... patients with COPD
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
mortality BPAP - Bi-Level ... In COPD, decreases ... edema) • COPD ... ., CHF or COPD) ... status • Won't Work
Low O2 saturation that does not respond to supplemental O2 - Key diagnostic feature (sat < 85%
pulse oximeter causes ... for any MetHb level ... of O2 delivery (i.e ... CHF, pneumonia, ... COPD, anemia) #
Cryptogenic Organizing Pneumonia - Illness Script PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
Cough, dyspnea, fever ... identified (autoimmune, meds ... TylerLarsenMD #COP ... #diagnosis #management ... #pulmonary
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
- Ferritin, liver ... post-flu MRSÅ pneumonia ... COPD/asthma or adrenal ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management
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