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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pulmonary clinical diagnosis criticalcare echocardiogram management pocus sign a4c clots ct fibrosis idiopathic intransit ipf mcconnells peep pulmonaryembolism radiology thrombus
Chattering on ECMO What is chattering? If you look closely at this video clip, the tubing is
Chattering on ECMO ... pressure (which is high ... flow through the ECMO ... @pulmcritdoc #ECMO
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 High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Bronchopneumonia High ... Sophia_Hayes_MD #High
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
HRCT = high-resolution
The pathogenesis of idiopathic pulmonary fibrosis. 1 – In an initiating phase, there is lung alveolar
dominates – driven by high ... myofibroblasts that express high
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Reservoir • High
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
e.g. asthma), or high
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
this is a rare echo
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 Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
Cool echo - RV strain
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 This is a parasternal short axis view in a patient with extensive pulmonary emboli on CTA.
A bedside echo revealed
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 Head Cheese Sign on Chest CT • Juxtaposition of distinct radiographic areas of low, normal and
low, normal and high
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