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diagnosis treatment differential aecopd amiodarone boop copd cryptogenic dyspnea exacerbation hepatopulmonary induced organizing pneumonia renal sob syndromes toxicity toxicology
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
- Asthma - COPD ... • Parenchyma: ILD ... - Water - Pus ... Hepatopulmonary syndrome ... Transverse myelitis • Hematology
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Unknown • 6-7 cases ... - Imaging: • CXR ... #BOOP #pulmonary ... #ILD #diagnosis ... #management
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... limitation (GOLD Ill ... ventilated • CXR ... , Lung US, Echo, ... #treatment #pulmonary
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA ... EGPA • ESR and CRP ... Goodpasture's cause ... sparing of the lung ... #diagnosis #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... disease Caused ... defect (Type 1) or anatomic ... #treatment #hepatology
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... respiratory distress syndrome ... Exclusion of other ILDs ... LDH • ↑ ESR, CRP ... #diagnosis #management
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