Discover and read the best of Twitter Threads about #Pulm

Most recents (6)

Hey #MedTwitter!!
This morning at our VA we had Chief @photon_ick give us a case of #ChronicSOB, where it turned out that the patient had #ABPA (#allergic bronchopulmonary #aspergillosis). It's a diagnosis we don't see too often, but one you'll definitely encounter here!! 🗝️👇
This is an #allergic condition, with 2 main predisposing conditions: #asthma & #cysticfibrosis
It can be more rarely seen in other lung disease/immunodeficiencies, but without the right lung environment like this, it is almost NEVER seen!!
There is no universally accepted criteria, but the #ISHAM criteria is often used. Let's check it out!

Traditional obligatory criteria:
- Serum #IgE RAST >0.35 OR Allergic Skin Testing (+) to A. fumigatus
- Total Serum IgE >1000 Image
Read 6 tweets
Kicking off this Monday w/ some UpToDate points on 💨CRYPTOGENIC ORGANIZING PNEUMONIA (COP)💨, a new diagnosis I encountered on #pulm last week uptodate.com/contents/crypt…
COP is categorized as one of the Idiopathic Interstitial Pneumonias group of ILDs. It was formerly called Bronchiolitis Obliterans Organizing Pneumonia (BOOP), but renamed due to features more consistent w/ inflammatory pneumonia vs. primary airway disorder. Figure: @DrEricStrong Image
COP is "cryptogenic" b/c the entity represents an unresolved pneumonia, & "cryptogenic" b/c etiology is unknown. The suspected pathophys is alveolar epithelial injury ➡️ fibroblast recruitment & fibrin formation w/i the alveolar lumen.
Read 4 tweets
Today on #pulm consult one of my new patients came in with a history of sputum (+) for a NON-tuberculous mycobacterium, specifically, M. avium complex (MAC)! Never worked this up, so let's talk about 🗣️ Pulmonary disease in MAC 🗣️ uptodate.com/contents/overv…
First, some review. NON-tuberculous mycobacteria (NTB) are mycobacterial species other than TB & M. leprae. NTB are found kind of everywhere. The fact NTB is actually a frequent lab contaminant in conjunction with...
...the fact most lung disease caused by NTM is indolent, and the fact (+) sputum cultures may represent benign respiratory colonization makes the diagnosis of true pulmonary NTB infection tricky.
Read 17 tweets
A #MedEd Thread for #pulm #criticalcare #applicants. How do you pick a program? What questions do you ask in a fellowship #interview? Here are some ways programs differ and tagged @IUPCCM experts to answer any questions you may have! #MedTwitter
#PAH: Does Pulm house pulmonary hypertension and manage vasodilator therapy? Or is this managed by a different department? Are there opportunities to learn this if so? @TimLahm @RFPMachado
#IP: Do you have experts performing advanced #bronchoscopy such as #navigational? Does Pulm place stents, valves? Is there #EBUS volume for general fellows to become proficient? How much of this is done by other departments such as Thoracics or ENT? @ChrisKniese
Read 13 tweets
🗂️THREAD: U.S./global #COVID19 clinical/research patient/healthcare worker registries seen on #medtwitter

Many specialty-society/focused registries launched in last few weeks, attempt to collect them here

List 👇🏽

1/n
2/n: @SCCM's VIRUS: Viral Infection and Respiratory Illness Universal Study @covid19registry

Inclusion criteria 👇🏽

sccm.org/Research/Resea…

Find out if your site is already enrolled: docs.google.com/spreadsheets/d…

#Pulmonology #Pulm #CriticalCare #PCCM
3/n: International #COVID19 Dermatology Registry led by @DrEstherFreeman @AADskin

Looking for:
1. #COVID19 pts who develop #skin findings
2. #dermatology pts who develop #COVID19

h/t @DrStevenTChen #dermtwitter
Read 11 tweets
I spent this past year working with kiddos who needed some extra help breathing 🌬. Trachs & vents are incredible interventions for those who want them, and also have hidden medical costs at 🏠.

[Thread on one hidden medical cost for #pulm families, and how to try and help] /1
During my time with families, I learned about the increase in electricity bills when they get discharged. 💡

Families reported monthly power bills ⬆️ by $400-500 once they got home. This might be after a week, 3 months, or 2 years of living in the hospital. /2
Few people think about their electricity bill as a medical expense, but if you use a ventilator, it is.

It became clear that I needed to investigate 🕵🏻‍♂️ how this bill was wracking up, and how to better prepare families for what was ahead when getting ready for 🏠. /3
Read 14 tweets

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