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management cryptogenic differential organizing peds acidosis acquired amiodarone antibiotics boop bronchiectasis causes checklist classification community criticalcare disease elevation febrile fever
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
(COP) Cryptogenic ... Anti-dsDNA, ANCA COP ... DDX: • CAP, ... Treatment: • ... #COP #BOOP #pulmonary
Cryptogenic Organizing Pneumonia - Illness Script PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
misdiagnosed as CAP ... Symptoms: Cough, dyspnea ... , neoplastic) TREATMENT ... TylerLarsenMD #COP ... #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
(CAP) - Diagnosis ... Obtain in severe CAP ... Pseudomonas) • Severe CAP ... radiographically confirmed CAP ... #CAP #Diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... • Dyspnea • Hemoptysis ... parenchyma Diagnosis ... Laboratory: • ANA, RF, CCP ... mycobacteria Treatment
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... leukocytes in urine ... <10,000/mm3 - CRP ... < 20 mg/L #Diagnosis ... #Management #Pediatrics
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... ) • Can rarely ... Dyspnea 3. ... LDH • ↑ ESR, CRP ... macrophages Treatment
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
15,000/mm3, and urine ... echo is positive, treatment ... and lab signs (CRP ... #Diagnosis #Peds ... #Pediatrics #Kawasaki
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... -> focus on improving ... perfusion - shock->treatments ... before beginning treatment ... output - Acute pulmonary
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
& culture - Urine ... nasal cannula for dyspnea ... suspected Adiunctive treatments ... COPD/asthma or adrenal ... lab-confirmed influenza, pulmonary
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