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diagnosis ild causes hypoxemia rheumatology aa algorithm alveolar arterial associations bilateral blines comparison connectivetissuediseases correlation ctild diseases failure findings gradient
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*) •
Limitation • Interstitial ... lung disease ... Malformation • Severe Pneumonia ... Hypoventilation Syndrome ... #Hypoxia #Differential
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Atelectasis, ARDS, Pneumonia ... Lung Disease ... #Hypoxia #hypoxemia ... #differential #
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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 Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... oxygen • Causes: Interstitial ... • Causes: Pneumonia ... hepatopulmonary syndrome ... #Differential #
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis. Notes: (A)
due to alveolar syndrome ... artifact); (G) UIP ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... #Correlation #Table
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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