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management amiodarone boop cryptogenic differential evaluation hyponatremia ild induced lung nephrology perioperative pneumonia preop preoperative risk sodium stratification toxicity toxicology
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Unknown • 6-7 cases ... 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
Appropriate ADH: Post Op ... Stress, Nausea, ... Pulmonary Diseases ... , CNS Disease, Meds ... #Algorithm #diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
eosinophilic pneumonia, organizing ... acute respiratory distress ... interstitial pneumonitis, organizing ... Fever 4. ... LDH • ↑ ESR, CRP
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
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