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diagnosis differential causes dyspnea eosinophilic lung management amiodarone clinical comparison consolidation cryptogenic cxr diseases eosinophilia induced lobar nonresolving organizing radiology
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... Eosinophilic PNA (acute ... or chronic)
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Travelers from ... , acute HIV infection ... Cough, dyspnea - Pneumonia ... melioidosis, typhoid, pulmonary ... , Lassa fever, acute
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Lung Diseases • Acute ... Eosinophilic Pneumonia ... Fungal, parasites; Travel ... similar to AEP or CEP ... Lung #Diseases #pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... : Trauma, COPD exacerbation ... Pleural effusion, Pneumonia ... : Asthma, COPD, ... poisoning, DKA, Fever
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Stable Angina • Acute ... • Asthma • COPD ... Alveoli • Pneumonia ... • ARDS • COPD
Eosinophilic Pneumonia When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
common diagnoses Acute ... tobacco hx - Fever ... mechanical ventilation Chronic ... (CEP) - F>M (2 ... #diagnosis #pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
considered, like acute ... or chronic illness ... Lobar pneumonia ... with cough and fever ... (OP) - multiple
Cryptogenic Organizing Pneumonia - Illness Script PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
/SYMPTOMS: • Acute ... Cough, dyspnea, fever ... identified (autoimmune, meds ... TylerLarsenMD #COP ... diagnosis #management #pulmonary
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
toxicity (e.g., acute ... • Chronic toxicity ... (e.g., chronic ... Fever 4. ... LDH • ↑ ESR, CRP
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