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differential management infectiousdiseases infections lung hematology clinical hiv reactions acute blood bronchiectasis cardiology criticalcare disease fungal hepatology hepatopulmonary hivaids neurology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
– ARDS: Clinical ... be detected on CT ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
/AIDS Patients ... edema; ARDS, Metastatic ... disease, Pulmonary ... Actinomyces spp., NHL; Lung ... #diagnosis #chestCT
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... - Differential Diagnosis ... • Sub-Valvular Disease ... Acute Coronary Syndrome ... Pneumonia • ARDS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
(ARDS) - Respiratory ... computed tomographic (CT ... lobar collapse, lung ... severity of the ARDS ... >= 5cm H2O #ARDS
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
of invasive GAS disease ... GAS in 30% of cases ... kidneys, liver, lung ... /ARDS, coagulopathy ... #STSS #treatment
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... #rheumatology
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... : Atelectasis, ARDS ... , Interstitial Lung ... #differential #diagnosis
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
non-productive cough, nausea ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
transfusion • Criteria: ARDS ... without other cause ... of ARDS to explain ... , and CXR with pulmonary ... #diagnosis #comparison
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