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management amiodarone cryptogenic differential evaluation hyponatremia induced lung nephrology organizing perioperative pneumonia preop preoperative risk sodium stratification toxicity toxicology
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
pneumonia • formerly BOOP ... cough, dyspnea, fever ... studies legionella/strep ... #BOOP #pulmonary ... #ILD #diagnosis
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... Stress, Nausea, ... Pulmonary Diseases ... , CNS Disease, Meds ... #Algorithm #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... stratification #diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
acute respiratory distress ... Fever 4. ... Exclude other causes ... Exclusion of other ILDs ... LDH • ↑ ESR, CRP
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