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differential management patterns radiology chest clinical abnormal abnormalities absence acquired boop bronchiectasis cap capnography cd4 checklist community consolidation copd criticalcare
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
- Imaging: • CXR ... consolidation and GG pattern ... - Diagnosis: ... adiacent alveoli • Absence ... #COP #BOOP #pulmonary
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
Differential diagnosis ... to look at the pattern ... more than one pattern ... called cryptogenic (COP ... #Pulmonary #CXR
COPD Physical Exam Likelihood Ratios Barrel Chest - LR 1.5 Pursed Lip Breathing - LR 2.7 Reduced breath sounds
1.5 Pursed Lip Breathing ... impulse - LR 7.4 Absent ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Diagnosis Framework ... , COP, Chronic Eos ... #Diagnosis #pulmonary
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... #Pneumonia #Venn ... #Pulmonolary
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern ... Differential Diagnosis ... rarely typical pneumonia ... #pulmonary #CXR ... #clinical #CT
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
bronchitis, and COPD ... #Breathing #Patterns ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... heart failure, COPD ... Evaluation: Imaging (CXR ... +/- High res CT ... HIVAIDS #workup #diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
(CAP) - Diagnosis ... radiograph or CT ... Yield of blood CX ... #CAP #Diagnosis ... Management #treatment #Pulmonary
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
data regarding pulmonary ... Assessing ROSC during CPR ... zero WAVEFORM PATTERNS ... surface - Pattern ... #diagnosis #pulmonary
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