CONTENTS RBILD (respiratory bronchiolitis interstitial lung disease) DIP (desquamative interstitial pneumonia) Other smoking-related lung diseases covered in other chapters: PLCH (pulmonary Langerhans cell histiocytosis) ➡️ AEP (acute eosinophilic pneumonia) ➡️ COPD (chronic obstructive pulmonary disease) ➡️ IPF (idiopathic pulmonary fibrosis) ➡️ CPFE (combined pulmonary fibrosis and emphysema) ➡️ Questions & discussion abbreviations used in the […]
Search Results for: acid base
Can We Place Neck Lines in Digoxin Toxicity?
Is it safe? Is it a no-no?
Neuro-Oncology Emergencies
NEURO-ONCOLOGY Approach to nonspecific presentations Direct effect of tumor mass Focal mass effect with edema Primary CNS lymphoma (PCNSL) Pituitary apoplexy Spinal cord compression Leptomeningeal carcinomatosis Vascular Acute Ischemic Stroke Intracerebral Hemorrhage Cerebral Venous Thrombosis Intravascular large B-cell lymphoma Seizure Paraneoplastic syndromes Iatrogenic Radiation therapy Chemotherapy PRES due to chemotherapy Checkpoint inhibitors: Immune-Related Adverse Events […]
Pulmonary involvement in connective tissue diseases
CONTENTS Overview of connective tissue disease-related ILD (CTD-ILD) History & physical Autoantibodies Autoantibody panel Autoantibody profiles of specific diseases ANA (antinuclear antibody) Interstitial pneumonia with autoimmune features (IPAF) Rheumatoid arthritis (RA) Interstitial lung disease Rheumatoid nodules Scleroderma Interstitial lung disease Pulmonary hypertension Lupus Diffuse alveolar hemorrhage Acute lupus pneumonitis Chronic ILD Pulmonary hypertension Shrinking lung […]
Follicular bronchiolitis (FB) and lymphoid interstitial pneumonia (LIP)
CONTENTS Basics Epidemiology Symptoms Radiology Radiology of FB (follicular bronchiolitis) Radiology of LIP (lymphoid interstitial pneumonia) Additional testing Diagnostic process Management Prognosis Questions & discussion abbreviations used in the pulmonary section: 2 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid Fast Bacilli AIP: Acute interstitial […]
Viral pneumonia (non-COVID/influenza)
CONTENTS General properties of viral pneumonias Herpesviruses ⍺-herpesviruses HSV VZV β-herpesviruses CMV Paramyxoviruses RSV (respiratory syncytial virus) Parainfluenza Metapneumovirus Adenovirus Rhinovirus Hantavirus Questions & discussion abbreviations used in the pulmonary section: 2 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid Fast Bacilli AIP: Acute interstitial […]
IBCC chapter & cast – Metabolic Alkalosis
Metabolic alkalosis is fairly common among hospitalized patients. The most severe cases are often due to large-volume diuresis (deresuscitation), massive transfusion, or ongoing nasogastric suction. Many patients will respond to simple resuscitation with normal saline (an acidotic fluid which is perfect here). However, more severe or complex cases will require a multi-modal strategy which utilizes […]
Investigation Bias: The freakonomics of when industry choses to sponsor a clinical trial
. Background: Publication bias . Over the last several years, publication bias has received a considerable amount of attention. In its most blatant form, this is when a drug company sponsors several trials, but only publishes the trials which yeild positive results. Growing awareness of this problem has led to the development of trial registries, […]
CAR-T cell therapy recipient in the ICU
CONTENTS Initial approach to CAR-T recipient in ICU CRS (cytokine release syndrome) Epidemiology Clinical manifestations Laboratory findings Differential diagnosis Staging Management Combined CRS & ICANS HLH (hemophagocytic lymphohistiocytosis) DIC (disseminated intravascular coagulation) ICANS (immune effector cell-associated neurotoxicity syndrome) Epidemiology Clinical manifestations Radiology Laboratory findings CSF EEG Diagnosis & differential diagnosis Staging Management Podcast Questions & […]
Pulmonary arteriovenous malformations (PAVMs) & other rare pulmonary vascular disorders
CONTENTS Basics Epidemiology Symptoms Radiology of PAVMs Diagnosis of HHT (hereditary hemorrhagic telangiectasia) Management Management of PAVMs Management of HHT (hereditary hemorrhagic telangiectasia) Other rare pulmonary vascular disorders: Pulmonary artery aneurysms & pseudoaneurysms Pulmonary vein thrombosis/occlusion Platypnea-orthodeoxia syndrome Questions & discussion abbreviations used in the pulmonary section: 8 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute […]
EMCrit 62 – Needle vs. Knife II: Needle Thoracostomy (Decompression)?
In this podcast, I explain why I don’t think needle compression is such a clever idea. Main points are: most people can’t find anterior target, most angiocaths won’t reach, and if used diagnostically you may not be in the pleura leading to an unidentified pneumo or hemothorax. Also, when used diagnostically, if the chest was negative you just caused a pneumothorax.
We had two bags of grass, seventy-five pellets of mescaline, five sheets of high powered blotter acid, a salt shaker half full of cocaine, and a whole galaxy of multi-colored uppers, downers, screamers, laughers… and also a quart of tequila, a quart of rum, a case of Budweiser, a pint of raw ether and two […]
https://emcrit.org/tidbit/we-had-two-bags-of-grass-seventy-five-pellets-of/
Spinal Epidural Abscess (SEA)
CONTENTS Pathogenesis Epidemiology & risk factors Clinical findings Laboratory studies Imaging studies Antibiotic selection & timing Interventional management Podcast Questions & discussion Pitfalls route of spread Improved imaging techniques have demonstrated that the majority of epidural abscesses occur secondary to tracking from a nearby infected musculoskeletal structure (e.g., septic facet joint, discitis, vertebral osteomyelitis).(31021957) Infection […]
Mold infections (aspergillosis, mucormycosis)
CONTENTS Invasive pulmonary aspergillosis: Rapid Reference – Overall approach to the diagnosis 🚀 Basics Epidemiology Presentation Investigations Galactomannan Beta-D-Glucan Sputum culture & fungal stain PCR Radiology Bronchoscopy Tissue diagnosis Treatment Other forms of aspergillus infection: Aspergillus tracheobronchitis Aspergilloma Chronic cavitary pulmonary aspergillosis Other mold infections: Invasive pulmonary mucormycosis Podcast Questions & discussion Pitfalls #1/3: some […]
EM Nerd-The Case of the Diagnostic Absurdity
Is it just me or have we lost our collective minds? A recent trial published in JAMA, by Freund et al (1), illustrates just how far our diagnostic psychosis has progressed. The authors conducted a crossover cluster–randomized non-inferiority trial examining a strategy utilizing the pulmonary embolism rule out criteria (PERC) rule to rule out pulmonary […]
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