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clinical criticalcare differential blines checklist cryptogenic organizing rheumatology acquired aids amiodarone autoimmune bilateral boop cap challenges community comparison covid19 crisis
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
cough, dyspnea, fever ... - Diagnosis: ... #COP #BOOP #pulmonary ... #ILD #diagnosis ... #management
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... • CT: Halo sign ... Constitutional symptoms ... Infections #HIV #AIDS #pulmonary ... #differential #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Ultrasound Findings ... pleura reflection) Pneumonia ... sliding COPD or ... #differential #diagnosis ... #signs #Lung #POCUS
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... #ultrasound
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 Cryptogenic Organizing Pneumonia - Illness Script PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
Males=Females SIGNS ... /SYMPTOMS: • Acute ... , dyspnea, fever ... #diagnosis #management ... #pulmonary
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... symptoms (e.g., ... chest pain) and signs
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
(CAP) - Diagnosis ... Pneumonia Signs ... /Symptoms: • Confusion ... #CAP #Diagnosis ... #Pulmonary #Community
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. This
example of 'shred sign ... a patient with fever ... This POCUS finding ... #photo #ultrasound ... #lung #pulmonary
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 Emphysematous Cystitis Epidemiology: • Usually middle-aged diabetic women • Other RF: neurogenic bladder, urinary tract outlet obstruction,
/Symptoms: • Usually ... be present or signs ... clostridium, klebsiella pneumoniae ... KUB or abdominal ultrasound ... #management
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
gradually with symptoms ... Fever 4. ... Improvement in symptoms ... LDH • ↑ ESR, CRP ... #diagnosis #management
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