Dr. Priyanka Teckchandani @DrTeck
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GrepMed Pulmonary and Critical Care Editor - Academic Hospitalist UC Davis Medical Center Internal Medicine, Pulmonary and Critical Care Medicine Fellow UC Irvine ‘22
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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... idiopathic pulmonary fibrosis ... HRCT = high-resolution ... idiopathic pulmonary fibrosis ... #IPF #UIP #Algorithm
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Bronchopneumonia High ... Chronic Eos PNA, Fibrosis ... Aspiration, Cystic Fibrosis ... Sophia_Hayes_MD #High
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... is Auto-PEEP? ... = intrinsic PEEP ... When does Auto-PEEP ... e.g. asthma), or high
The pathogenesis of idiopathic pulmonary fibrosis. 1 – In an initiating phase, there is lung alveolar
idiopathic pulmonary fibrosis ... dominates – driven by high ... myofibroblasts that express high ... Pathophysiology #Fibrosis
Titrating PEEP in ARDS
Key Principles:
1) The ideal PEEP optimizes alveolar recruitment and reduces atelectrauma, while minimizing
Titrating PEEP in ... 1) The ideal PEEP ... to monitor with PEEP ... 4) Optimal PEEP ... frequently 5) High-PEEP