19 results
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Fever+, Cough+, Dyspnea ... mechanical ventilation Chronic ... tobacco hx, >60% asthma ... Consolidations AKA "inverse pulmonary ... Pneumonia #diagnosis #pulmonary
Biologic therapy for eosinophilic asthma 
• Mepolizumab (Nucala) 
  • Anti-lL-5, 100 mg SQ q4
asthma • Mepolizumab ... • Peripheral eosinophils ... #asthma #Biologic ... #Medications #pharmacology ... #pulmonary #management
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
cough, SOB • Chronic ... 45yo, F; Hx of asthma ... , CF; Chronic cough ... Lung #Diseases #pulmonary ... #differential #
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Dyspnea - Differential ... Obstruction • Asthma ... #Dyspnea #SOB # ... Differential #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... - Differential ... Bronchitis • Chronic ... disease • Asthma ... #Differential #
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea ... - Differential ... Diagnosis Pulmonary ... exacerbation, Asthma ... : Asthma, COPD,
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... fever • Cough, dyspnea ... melioidosis, typhoid, pulmonary ... malaria • Cough, dyspnea ... - Tropical pulmonary
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
pseudomallei, hanta virus ... - Eosinophilic ... PNA (acute or chronic ... Others: - Pulmonary ... #differential
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue - Differential ... Epstein-Barr Virus ... Obstructive Pulmonary ... Myasthenia Gravis Pharmacologic ... #Fatigue #Differential
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Limb ischemia Pulmonary ... , H/O COPD, asthma ... ChestPain #Diagnosis #Management ... #Algorithm #differential