Resident Report 11/23

Teaching Pearls

  • Etiologies for Dilated Cardiomyopathy
    • Ischemic
      • Most common cause
    • Stress-induced
      • “Broken Heart syndrome”
      • Takotsubo cardiomyopathy
      • Middle to older age females with recent stressor event
    • Infectious
      • Chagas Disease
        • Most common cause of DCM in those from south and central America
      • Lyme’s Disease
        • More classically associated with heart block
      • Viral
        • Parvovirus B19
        • HIV
        • Coxackie
        • CMV
        • HHV-6
        • adenovirus
    • Toxins
      • Cocaine, meth, alcohol
      • Web Beriberi – thiamine deficiency
    • Medications
      • Chemotherapy (anthracyclines)
    • Idiopathic
  • Ground Glass Opacities on CT
    • Due to filling of alveolus (airspace disease) or interstitial lung disease
    • Acute findings
      • Edema
        • Heart failure
        • ARDS
      • Pulmonary hemorrhage
      • Pneumonia (viral, mycoplasma, PCP)
      • Acute eosinophilic PNA
    • Chronic findings
      • Hypersensitivity pneumonitis
      • Organizing pneumonia
      • Alveolar proteinosis
      • Chronic eosinophilic pneumonia
      • Bronchoalveolar carcinoma
      • Lung fibrosis

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