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diagnosis differential causes dyspnea pulmonary chronic acute management sob amiodarone boop cancer cough cryptogenic disease erythematosus hepatology incomplete induced kawasaki
Dyspnea - Considerations with Malignancy Directly Malignancy Related: - Lymphangitic spread to lung - Malignant pleural effusion
Directly Malignancy ... pleural effusion ... effusion - Lung ... - Cytopenias (anemia ... NEJMcps1414168 #dyspnea #algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Pericardial • Effusion ... • Asthma • COPD ... Effusions • Pleural ... Interstitium • ILD ... Pulmonary - Other • Anemia
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
with CTD, drugs, malignancy ... Rare: pleural effusions ... , pleural thickening ... Pulmonary lymphoma, Diffuse ... BOOP #pulmonary #ILD
Cough - Diagnostic Schema Infectious: URTI, LRTI, Bacterial, Viral Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body Airway Disease:
Disease: Asthma, COPD ... Autoimmune Vasculitis, ILD ... Malignancy: Lung ... effusion Other ... #Differential #Algorithm
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Noninfectious: • Malignancy ... #Effusion #Pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Acute: Trauma, COPD ... flare, Pleural ... effusion, Pneumonia ... effusion, Pulmonary ... Tamponade • Chronic: Anemia
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
- Asthma - COPD ... • Parenchyma: ILD ... - Blood • Pleura ... : - Effusion ... Hematology: - Anemia
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
Infants ≤6 months old ... Albumin ≤3.0 g/dL, anemia ... purposes of this algorithm ... regurgitation, pericardial effusion ... and lab signs (CRP
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Infections • Malignancy ... effusions • Acute ... pneumonitis • Diffuse ... Serositis: • Pleural ... lymphopenia, low PLT • Anemia
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
and exudative pleural ... effusions • Acute ... • Patchy or diffuse ... embolism - Malignancy ... Exclusion of other ILDs
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