Pulmonology

Back to Basics: Fever, Cough, SOB

A patient comes into the ED with a high fever, shortness of breath, mild headache, diarrhea, and general malaise. It’s 2021… so naturally, the ‘COVID alarms’ start sounding in our heads. But if it were that simple, we probably wouldn't be posting about it, would we?

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Back to Basics: Hospital and Ventilator-Acquired Pneumonia

Last week, we covered the basics of adult pneumonia, focusing on community acquired pneumonia (CAP).  This week, will we cover the pathogens and treatment of hospital-acquired pneumonia (HAP) & ventilator-acquired pneumonia (VAP).

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Critical Cases - Cor Pulmonale Emergency!

Your nurse approaches you and says there is a new patient who arrived via EMS with shortness of breath. And his o2 sat is 65% on nasal canula. That gets you out of your chair and into the room in a hurry and you wrack your brain for the various causes of acute onset hypoxia as you enter the room (and no, it's not Covid-19!)

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Critical Cases - Tension Pneumothorax!

A 76 yo female with a history of Stage IV breast Ca with metastasis to the lung presents to the ED with acute shortness of breath 10 hours after an outpatient placement of a right sided PleurX chest tube for drainage of recurrent malignant effusion......

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