Discover and read the best of Twitter Threads about #lungdisease

Most recents (6)

Teaming up again with the great @VerwerftJan to share our experience with #echoCPET in #HFpEF. This hot-of-the-press paper @ESC_Journals demonstrates myriad of opportunities for diagnosis & treatment, far beyond #SGLT2i only. Tweetorial below!

@SarahStroobant2 @HerbotsLieven Image
We have recently described our set-up for a dedicated #dyspnoeaclinic in detail @JACCJournals



In #HFpEF, early & correct diagnosis are important, #phenotyping is everything. There are a lot of mechanisms for dyspnoea involved Image
Current @ESC_Journals paper goes one step further: "In patients with confirmed HFpEF or probability >90% according to well-validated HFpEF scores (both are complimentary in our view), why #echoCPET within a dedicated #dyspnoea clinic? What is the impact of findings?" Image
Read 9 tweets
A 32-YO♀️ from Guatemala, Ph+ B-ALL post #chemotherapy: #dyspnea
CT: ground-glass opacities (2A yellow box), interstitial pulmonary edema with septal thickening (2B yellow circles), & pericardial effusion (2C yellow arrows), lymph nodes (2D yellow arrows)
Eosinophilia
1/7
Due to normal ejection fraction, the differential diagnosis of dyspnea included non-cardiogenic pulmonary edema, pneumonitis secondary to chemotoxicity, and infection.
2/7

doi.org/10.1016/j.idcr…
#haematology #radiology #IDtwitter
She progressed to acute hypoxic respiratory failure.

🔬bronchoalveolar lavage: numerous larvae (3A,3B) with short buccal grove (arrow head) and prominent genital primordium (arrow) consistent with STRONGYLOIDES HYPERINFECTION

3/7
#lungdisease #parasitology #Pathologists
Read 7 tweets
🚨🚨🚨New @EuroRespSoc @escardio #PulmonaryHypertension guidelines 2022
There is a lot of new guidance, this is just a short thread to begin with the most notable changes...

Let's go! 🧵 👇👇👇 (1/10)
1⃣New definition:
📌Same mPAP threshold as Nice 2018 (mPAP> 20 mmHg)
📌Lower PVR threshold (PVR >2 WU)! 👈
📌No more DPG to differentiate Ipc & Cpc
📌Re-introduction of #ExercisePH in definition!👈
(2/10)
2⃣Diagnostic algorithm:
📌Fast track for referral to a #PH centre at any point of warning signs or #PAH or #CTEPH suspected
📌Individualised route for suspected #LungDisease but rapid cross-referral if necessary
📌If eventually PAH/CTEPH suspected, follow to tables 😵‍💫
(3/10)
Read 10 tweets
1/ Not saying anything revolutionary here but thought I'd gather my thoughts in a big ol' #thread on #smoking, esp why I think pubs/bars/restaurants should voluntarily create generously-sized outdoor #nonsmoking areas ASAP (esp aimed at #Norwich venues bc of self-interest!)
2/ New gov guidance suggests venues will have to provide outdoor non-smoking areas soon anyway, though it's not clear from exactly when (anyone know?). gov.uk/government/new…
3/ But pubs should do it soon, before they are forced to, from a sense of moral duty & to protect punters from 2nd hand smoke (SHS).
Read 25 tweets
My chest is not its best, so I'm back on the IVs for 2 weeks. This is what 14 days of intravenous antibiotics looks like in its constituent parts. It's been 5 & 1/2 months since I was last on IVs - a good stretch for me. I put it partly down to that sweet sweet lockdown air... ImageImage
...Remember that? Wasn't it amazing?
I'm particularly worried about our #airquality in the next couple of weeks with the return of the school run. Our government has messed up an amazing opportunity to really change public transport habits for the better, & I'm livid...
...So yeah, I'm not sure if I've ever mentioned this before, but #AirPollution kills. Please only drive if you absolutely have to. And don't ever idle your engine unnecessarily - that's a real 🍆 move. Huge thanks as always to the @NNUH staff, & everyone fighting for #cleanair
Read 4 tweets
What's in a name?
Why @WHO's formal name for the new #coronavirus #disease matters:

time.com/5782284/who-na…

#COVID19 #Covid_19
1. Wash your hands often and/or use hand sanitizer more frequently.

2. Try not to touch your face... 🙈

3. Cough into your shirt or arm.

4. Stay home when you are sick.

5. WASH. YOUR. HANDS!

#COVIDー19
#COVID19
#coronavirus

toronto.citynews.ca/video/2020/02/…
Read 12 tweets

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