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lung clinical covid19 differential syndrome amiodarone bilateral checklist comparison cop criticalcare cryptogenic diagram findings ild immune induced inflammatory influenza iris
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms •
Main Lung Ultrasound ... yield respiratory symptoms ... superimposed bacterial pneumonia ... areas #COVID19 #POCUS ... Comparison #Table #Diagnosis
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... /lung sliding: Pulmonary ... NOT definitively diagnose ... RJonesSonoEM #BLines ... #ultrasound
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 Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
• formerly BOOP ... Rare: pleural effusions ... - Diagnosis: ... #COP #BOOP #pulmonary ... #management
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Associated Lung Ultrasound ... pleura reflection) Pneumonia ... #differential #diagnosis ... #signs #Lung #POCUS ... #ultrasound #findings
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... based on three lines ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... symptoms (e.g.,
Day 10 after COVID diagnosis. Less tired, but more cough, ageusia & anosmia. No dyspnea or
10 after COVID diagnosis ... dyspnea or red flag symptoms ... No fever. ... clinical #lung #ultrasound ... #pulmonary #BLines
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 Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
exudative pleural effusions ... gradually with symptoms ... Fever 4. ... Improvement in symptoms ... #diagnosis #management
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Usual interstitial pneumonia ... thickening or effusion ... , INC risk PE, Pulmonary ... phenomenon (16%) MSK ... #Management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
decrease in HIV-1 RNA level ... Lymphadenitis, pulmonary ... infiltrates, pleural effusions ... cryptococcomas, cavitating pneumonia ... #Management
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
function tests - Ultrasound ... needed to exclude effusion ... BID if <96hr of symptoms ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management
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