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differential management algorithm amiodarone cardiology copd endocarditis exacerbation failure hemoptysis hyperkalemia hyponatremia hypoxemic hypoxia induced infectiousdiseases k nephrology potassium prs
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR, Lung ... doppler, CTA • ECG ... COPD Assess ... #Exacerbation #treatment ... #pulmonary
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... Lung abscess ... Abscess Diagnosis ... #Abscess #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... respiratory drive due to neurologic ... : Interstitial lung ... shunting (eg, pulmonary ... #Differential #Diagnosis
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Differential Diagnosis ... carcinoma of the lung ... hemorrhage) - Pulmonary ... pneumonia, COPD ... #Table #Causes
Hemoptysis - Differential Diagnosis Framework Massive Hemoptysis: >150-300 mL in 24h Airway disease: • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... carcinoid, Mets), COPD ... Necrotizing PNA, Abscess ... alveolar hemorrhage (DAH ... #pulmonary #causes
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
recent DAN) • EMG ... Goodpasture's cause ... sparing of the lung ... hematuria, RBC casts ... #management #treatment
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... starting amiodarone treatment ... pneumonia, ARDS, DAH ... Exclude other causes ... macrophages Treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
tourniquet / IVF line draw ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... #potassium #nephrology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... Septic emboli cause ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment
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