SEEK Questionnaires

• related: ICU intensive care unit, Pulmonology
• tags: #literature

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Links to this note

• acute and chronic eosinophilic pneumonia AEP and CEP

  • [^1]: SEEK Questionnaires

• mycobactrium avium MAC

  • [^1]: Broaddus, V. Courtney et al. Murray & Nadel’s Textbook of Respiratory Medicine. Ed. V. Courtney Broaddus et al. Seventh edition. Philadelphia, PA, 2021. Print. [^3]: Bryant J.M., Grogono D.M., Greaves D., et. al.: Whole-genome sequencing to identify transmission of Mycobacterium abscessus between patients with cystic fibrosis: a retrospective cohort study. Lancet 2013; 381: pp. 1551-1560. [^4]: Falkinham JO. Reducing Human Exposure to Mycobacterium avium. Annals ATS. 2013;10(4):378-382. doi:10.1513/AnnalsATS.201301-013FR [^5]: Broaddus, V. Courtney et al. Murray & Nadel’s Textbook of Respiratory Medicine. Ed. V. Courtney Broaddus et al. Seventh edition. Philadelphia, PA, 2021. Print [^6]: Infection with Mycobacterium avium complex in patients without predisposing conditions. Prince DS, Peterson DD, Steiner RM, Gottlieb JE, Scott R, Israel HL, Figueroa WG, Fish JE. N Engl J Med. 1989;321(13):863. [^7]: Elicker, Brett M., W. Richard Webb, and W. Richard (Wayne Richard) Webb. Fundamentals of High-Resolution Lung CT: Common Findings, Common Patterns, Common Diseases, and Differential Diagnosis. Second edition. Philadelphia, Pennsylvania: Wolters Kluwer, 2019. [^8]: SEEK Questionnaires [^9]: An Official ATS/IDSA Statement: Diagnosis, Treatment, an Prevention of Nontuberculous Mycobacterial Diseases.” A Journal of Respiratory and Critical Care Medicine. 2007.

• constrictive bronchiolitis is small airway disease

  • [^1]: SEEK Questionnaires

• mesothelioma

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• CPAP improves LV afterload by preventing upper airway collapse

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• eosinophilic granulomatosis with polyangitis EGPA aka churg strauss

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• combined pulmonary fibrosis emphysema CPFE

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• tpa contraindications

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• CLAD chronic lung allograft dysfunction

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• pulmonary diseases that are less common among smokers than nonsmokers

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• Lung nodules

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• propofol infusion syndrome can lead to elevated lactic acidosis

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• aspirin exacerbated respiratory disease

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• cryptococcus pulmonary infection

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• pulmonary coccidioidomycosis infection

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• methemoglobinemia has reduced O2 saturation with normal PaO2

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• follicular bronchiolitis

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• use pirfenidone over nintedanib for less CYP interactions for pulmonary fibrosis

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• TIPS can cause portopulmonary hypertension

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• GPA granulomatosis with polyangitis Wegener

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• respiratory bronchiolitis

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• pulmonary lymphomatoid granulomatosis PLG is associated with EBV

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• arterial line damping

  • [^1]: SEEK Questionnaires [^3]: CHEST Board Review Critical Care?

• arterial line transducer positioning in relation to heart

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• benefits of NIV

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• brain death exams

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• driving pressure is plateau pressure minus PEEP

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• MRSA nare test has high NPV

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• post surgical necrotizing soft tissue infection can have shock and dishwasher fluid appearance

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• PT OT reduces ICU delirium

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• pulmonary embolism readministration of TPA

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• pulmonary abscess

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• LAM vs PLCH vs LIP vs PBML image, histology, PFT

  • [^1]: SEEK Questionnaires [^3]: Algorithmic approach to multiple intraparenchymal cysts. Abbreviations: HRCT, high-resolution CT; BHD, Birt-Hogg-Dubé; H/O, history of; LAM, lymphangioleiomyomatosis; TS, tuberous sclerosis [complex (TSC)]; PTX, pneumothorax; PFT = pulmonary function test; HMB-45, Human Melanoma Black. Figure courtesy of Raoof S, Bondalapati P, Vydyula R, et al. Cystic lung diseases: algorithmic approach. Chest. 2016;150(4):945-965.

• pulmonary echinococcosis can present with pneumothorax

  • [^1]: SEEK Questionnaires

• asbestosis

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• dupilumab dupixent is used to treat oral corticosteroid dependent asthma

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• 2, 3 BPG and RBC

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• 6 minute walk test 6mwt

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• acute chest syndrome in sickle cell disease

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• ALS amyotrophic lateral sclerosis can be mistaken for lung problems

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• bronchopulmonary dysplasia BPD can lead to airway obstruction

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• castleman disease

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• chronic silicone embolism syndrome

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• e-cigarettes and tobacco

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• EVALI ecigarette or vaping associated lung injury

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• hypertrophic osteoarthropathy

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• idiopathic pulmonary hemosiderosis IPH can cause DAH

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• lung transplant medication and CYP interactions

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• lupus can have shrinking lung syndrome

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• marijuana use can induce bulla formation

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• Mounier-Kuhn Syndrome or tracobronchomegaly

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• osler weber rendu is associated with high output heart failure from hepatic AVM

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• osler weber rendu is associated with pulmonary AVM

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• placental transmogrification of the lung

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• pneumonia tularemia needs to be treated with aminoglycoside

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• post lung transplant infections

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• primary graft dysfunction following lung transplant

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• Primary graft dysfunction is form of acute noncardiogenic pulmonary edema following transplant

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• rituximab can cause hypogammaglobulinemia

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• thoracic endometriosis syndrome TES can cause catamenial pneumothorax and hemothorax

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• traumatic pulmonary pseudocysts can result following trauma

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• use rigid bronchoscopy for extraction of foreign objects

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• use sniff test to diagnose diaphragmatic paralysis

  • [^1]: Murray and Nadel Ch 136 Noninvasive Support of Ventilation

• VAP risk factors for MDR pathogens

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• Warfarin can cause tracheobronchial tree calcification

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• initiating nighttime NIV for chronic hypercapnia in COPD

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• reversal in brain bleed

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• thromboelastogram TEG

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• GBS

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• extrapulmonary tuberculosis

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• pulmonary alveolar proteinosis

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• lymphoid interstitial pneumonia LIP can have ground glass opacities with peribronchovascular cystic lesions, differentiate it from NSIP

  • [^1]: An Algorithmic Approach to Lung Disease

• stress index in ventilators

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• cystic fibrosis treat with Trikafta over mono or dual therapy

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• dupilumab dupixent can have transient elevation in blood eosinophils

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• early diastolic transmitral flow on apical four chamber view

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• cocaine overdose leads to catecholamine excess

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• phenobarbital use have increased risk for steven johnson syndrome

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• treat cocaine overdose with benzodiazepines, ccb, and nitroglycerin

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• Triple inhaler improves mortality in COPD patients and should be used over ICS-LABA

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• myasthenia crisis

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• renal artery stenosis can cause recurrent flash pulmonary edema

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• lymphoid interstitial pneumonia LIP have positive autoimmune labs and lymphocyte BAL results

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• diagnostic criteria for acute eosinophilic pneumonia

  • [^1]: Murray and Nadel Ch 96 Eosinophilic Lung Disease

• bronchiolitis with air trapping can have appearance of decreased lung density on expiration

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• seizure can be result of hyperbaric oxygen therapy

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• calculating efficacy

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• calculating survival probability

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• number needed to screen and prevalence

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• person time rate

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• power and confidence level of research

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• PPV has positive relationship with prevalence

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• sensitivity, specificity, PPV, NPV, true positive, false positive, true negative, false negative

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• type 1 and 2 errors

  • [^1]: Mayo Foundation for Medical Education and Research.

• validation methods in big data analysis

  • [^1]: SEEK Questionnaires

• bronchial atresia is a congenital anomaly that can cause mucous impaction

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• continue normal asthma management except ICS LABA in pregnant patients

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• mannitol inhalation test for asthma diagnosis

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• start allergen immunotherapy for controlled asthma patients

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• use bronchial thermoplasty to treat severe asthma

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• aspirin can be used for prophylaxis after treatment of unprovoked recurrent DVT

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• babesiosis babesia microti

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• blastomycosis

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• chlamydia parrot disease

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• common fungal infection histology

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• do not use zanamivir for treatment of COPD due to influenza

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• Fungal Infections

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• fungitell aka beta d glucan testing

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• Malaria causes cyclic fevers

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• monkeypox aka mpox has rash and

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• mucormycosis can cause pseudoaneurysm

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• mucormycosis pulmonary and treatment

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• nocardia and actinomyces

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• pseudomonas risk factors

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• use cefiderocol for high resistant pseudomonas

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• eosinophilia in pleural effusion suggests BAPE, air, PE, or cancer

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• pleurx catheter results in fewer pleural procedure than talc pleurodesis

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• spontaneous bacterial empyema SBEM is empyema without pneumonia

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• trapped lung physiology is result of chronic lung entrapment

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• urinothorax is associated with obstructive uropathy after trauma or surgery

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• use radioisotope scan to diagnose hepatic hydrothorax

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• dilated coronary sinus on US can be result of persistent left superior vena cava

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• infiltrative cardiomyopathy ultrasound findings

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• use alpha pressors for takotsubo cardiomyopathy

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• VTE in pregnancy treatment

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• treat refractory MAC with amikacin

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• paragangliomas is a type of middle mediastinum mass

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• check point inhibitor pneumonitis

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• order CPET to diagnose chronic dyspnea and assess preoperative risks

  • [^1]: An Algorithmic Approach to Chronic Dyspnea [^3]: SEEK Questionnaires

• cryptogenic organizing pneumonia COP histology shows Masson bodies

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• acute eosinophilic pneumonia can present after unusual or unique exposures

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• acute eosinophilic pneumonia diagnosis include eosinophils on BAL, pulmonary infiltrate, febrile illness

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• treat eosinophilic pneumonia with steroids

  • [^1]: Uworld Questionnaires

• ILD associated with MDA-5 dermatomyositis

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• mycophenolate as primary treatment for sjogren associated ILD

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• nintedanib can be used to treat fibrotic HP and CTD ILD

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• cardioselective beta blocker does not worsen COPD

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• endobronchial valve placement BLVR offers nonsurgical option for COPD patients

  • [^1]: COPD Part III LVRS, Bipap, and Transplant

• lung volume reduction surgery LVRS

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• oxygen therapy improves survival in patients with resting hypoxemia

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• pursed lip breathing for COPD

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• selection criteria for lung transplantation in COPD patients

  • [^1]: COPD Part III LVRS, Bipap, and Transplant

• start roflumilast for chronic bronchitis patient

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• use lower respiratory rate and high tidal volume for COPD patients on ventilator

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• use standard trigger and high cycle sensitivity for COPD patients

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• CABG patients have high false positive for HIT

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• mesothelioma is associated with BAP1 mutation

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• mesothelioma vs adeno staining

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• hamartomas are slow growing tumors with fat and cartilage

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• IMT inflammatory myofibroblastic tumor

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• pulmonary carcinoid tumors are slow growing neuroendocrine tumor

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• diagnosis of HP is in imaging and BAL with high lymphocyte count

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• HP hypersensitivity pneumonitis is divided into fibrotic and nonfibrotic types

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• APAP results in lower mean airway pressure compared to CPAP

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• ASV adaptive support ventilation

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• CPAP with expiratory pressure relief

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• CSA supplemental O2

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• eszopiclone is used to help improve adherence to CPAP

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• high altitude can worsen CSA

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• initiating daytime ventilation for neuromuscular disease patients

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• initiating nighttime NIV for chronic hypercapnia in OHS

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• opioid impact on sleep disordered breathing

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• PAP therapy does not improve survival in HFrEF patients with CSA

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• REM sleep and pulmonary disorders

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• use in lab sleep testing instead of home for complicated sleep apnea

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• acceptability, usability, repeatability of spirometry qualities

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• difference between asthma, copd, emphysema on PFT

  • [^1]: An Algorithmic Approach to Chronic Dyspnea [^3]: Gelb AF, Yamamoto A, Verbeken EK, et al. Unraveling the pathophysiology of the asthma-COPD overlap syndrome: unsuspected mild centrilobular emphysema is responsible for loss of lung elastic recoil in never smokers with asthma with persistent expiratory airflow limitation. Chest. 2015;148(2):313-320.

• DLCO can be affected by valsalva maneuver

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• DLCO VA abnormality

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• fixed ratio vs LLN for spirometry

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• GLI equation how did it come about

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• PFT spirometry, DLCO, lung volume orders

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• pulmonary function test changes in pregnancy

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• step up pattern in restrictive lung disease is result of respiratory muscle weakness

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• LIP histology findings

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• lymphoid interstitial pneumonia LIP etiologies are typically autoimmune

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• treatment for lymphoid interstitial pneumonia LIP usually includes immunosuppression

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• discontinue DVT ppx prior to lumbar puncture

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• azithromycin, erm41, and mycobacterium abscessus

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• galactomannan test

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• red meat allergy

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• example calculation winters formula agma

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• most common complication of HRS treatment includes respiratory failure

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• acute mercury toxicity

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• aerospace industry is associated with berylliosis

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• hydrogen sulfide is deadly sewer gas

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• metal fume fever

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• benign vs malignant tracheobronchial tumors

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• fat containing mediastinal masses

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• immunohistochemical lung cancers

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• mediastinal liposarcoma is hetergenous mass with adipose tissues

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• middle mediastinum mass

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• NSCLC overview chemo treatment

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• pediatric pulmonary tumors

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• PFT example of lung cancer causing fixed airway obstruction

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• pleural lipoma are benign nodules

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• pulmonary mucoepidermoid carcinoma is a type of salivary gland tumor

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• purely ground glass lung nodule

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• risk of lung resection

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• schwannoma with pleural mass

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• second primary vs separate tumor nodule

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• segmentectomy vs lobectomy in stage 1a1 lung cancer

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• solitary fibrous tumor of pleura SFTP is benign mobile pleural tumor

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• stage 3a NSCLC with resection, chemo, and if able check point inhibitor

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• surveillance CT scan after resection of NSCLC

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• treatment of stage 4 NSCLC with solitary mets can be curative intent

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• adding inspiratory hold to improve double triggering

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• APRV has less sedation and paralysis

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• calculating driving pressure in pressure control mode

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• delayed cycling caused by low trigger and high inspiratory time

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• PEEP and plateau in APRV

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• static and dynamic compliance

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• thymoma can have drop metastases to pleura

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• thymoma paraneoplastic syndrome includes myasthenia gravis

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• disseminated histoplasmosis leads to sepsis, pancytopenia, adrenal insufficiency, and lymphadenopathy

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• treat moderate to severe histoplasma with amphotericin B and itraconazole

  • can then taper to oral itraconazole for 12 weeks to as long as 12 months[^1] [^1]: SEEK Questionnaires

• GPA granulomatosis with polyangitis CT chest shows cavitary diseases

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• granulomatosis with polyangiitis histology shows necrotizing granulomas

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• avacopan is a c5a receptor inhibitor used to treat ANCA vasculitis

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• use icatibant for hereditary angioedema

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• moderator band in RV on ultrasound

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• sarcoidosis and transplant

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• LAM can have normal PFT until late in disease

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• treat LAM disease with sirolimus

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• right heat cath RHC can be used for vasoreactivity testing during pulmonary hypertension workup

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• sickle cell disease and pulmonary hypertension

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• use endothelin antagonist to treat pulmonary hypertension in sickle cell patients

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• primary, secondary, tertiary prevention

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• six sigma and lean

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• pulmonary langerhans PLCH etiology, patient population

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• pulmonary langerhans PLCH has S100 and CD1a positive staining

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• pulmonary langerhans PLCH symptoms, PFT, CT finding

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• pulmonary langerhans PLCH treatment

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• birt hogg dube syndrome

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• light chain deposition disease LCDD

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• use low TV and FiO2 on ventilator for ECMO patients

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• APML and differentiation syndrome aka retinoic acid syndrome

  • [^1]: CHEST fellow course 2024 Heme Onc Emergencies

• prevention of recurrent VTE in cancer patients

  • [^1]: SEEK Questionnaires

• HLH hemaphagocytic lymphohistiocytosis

  • [^1]: SEEK Questionnaires