Diffuse parenchymal lung disease and its mimics

Sep 14, 2018 by in RESPIRATORY Comments Off on Diffuse parenchymal lung disease and its mimics

Common misconceptions and mistakes • Bronchoscopy with transbronchial biopsies are usually indicated and helpful in the evaluation of diffuse parenchymal lung disease • Video-assisted thoracoscopic surgery (VATS) lung biopsy is…

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Lung cancer

Sep 14, 2018 by in RESPIRATORY Comments Off on Lung cancer

Common misconceptions and mistakes • Believing that IV contrast is required to screen for pathologic mediastinal adenopathy • Being reassured about a lesion that has demonstrated growth over time because…

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Acute venous thromboembolic disease

Sep 14, 2018 by in RESPIRATORY Comments Off on Acute venous thromboembolic disease

Common misconceptions and mistakes • Believing that the target of heparin is the already embolized clot (preventing its extension in the pulmonary vasculature) • Missing the most common abnormal chest…

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Invasive mechanical ventilation

Sep 14, 2018 by in RESPIRATORY Comments Off on Invasive mechanical ventilation

Common misconceptions and mistakes • Believing that patients with acute respiratory distress syndrome (ARDS) require advanced modes of mechanical ventilation (eg, airway pressure release ventilation [APRV]) • Changing the ventilator…

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Sarcoidosis

Sep 14, 2018 by in RESPIRATORY Comments Off on Sarcoidosis

Common misconceptions and mistakes • The stages of sarcoid reflect disease progression (stage 1, early disease; stage 4, late disease) • Pulmonary sarcoidosis is a steroid-responsive disease • Believing that…

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Shock

Sep 14, 2018 by in RESPIRATORY Comments Off on Shock

Common misconceptions and mistakes • Overresuscitating patients with septic shock • Underresuscitating patients with hemorrhagic shock • Underresuscitating severe pancreatitis • Attempting to initially differentiate isolated right-ventricular (RV) cardiogenic shock…

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Aspergillus lung disease

Sep 14, 2018 by in RESPIRATORY Comments Off on Aspergillus lung disease

Common misconceptions and mistakes • Confusing an aspergilloma or fungus ball with chronic fibrosing pulmonary aspergillosis • Failing to make the distinction between allergic bronchopulmonary aspergillosis (ABPA) and asthma with…

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Cough

Sep 14, 2018 by in RESPIRATORY Comments Off on Cough

Common misconceptions and mistakes • Evaluating and treating a chronic purulent cough in the same fashion as a chronic dry cough • Failing to obtain chest imaging in individuals complaining…

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