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diagnosis causes ild diseases hypoxemia hypoxia rheumatology alveolar arterial associations bilateral blines comparison connectivetissuediseases ctild dyspnea gradient lungdisease management sjogrens
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Interstitial Pneumonia ... • (UIP) Usual ... Interstitial Pneumonia ... Intersitial Pneumonia ... Interstitial Pneumonia
Connective tissue disease-associated interstitial lung diseases LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
lung diseases ... interstitial pneumonia ... I-JIP: usual interstitial ... AIP: acute interstitial ... PSS: Sjogren syndrome
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... pneumonia (DIP) ... pneumonia (AIP) ... Churg Strauss syndrome ... ILD #diagnosis #differential
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Diagnosis Algorithm ... Limitation • Interstitial ... lung disease ... Malformation • Severe Pneumonia ... Hypoventilation Syndrome
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... Differential Bilat ... : Pulmonary edema ... lung disease, interstitial ... #Lung #POCUS #clinical
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 Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Atelectasis, ARDS, Pneumonia ... Lung Disease ... UnremarkableLab #AA ... Hypoxia #hypoxemia #differential
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Diagnosis Algorithm ... Superior vena cava syndrome ... Parenchyma: • Pneumonia ... • Cancer • Interstitial ... lung disease Vasculature
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... pneumonia • Usual ... interstitial pneumonia ... , INC risk PE, Pulmonary ... MALT Lymphoma • Lung
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