Pulm / MICU
Pulmonary
Airways, ILD, VTE, PH & ARDS. CXR ABCDEF, GOLD ABE, PE risk strata, and the 6 Ps of hypoxemia.
01
Chest imaging
ABCDEF: Airways/quality, Bones, Cardiac silhouette, Diaphragm, Effusions, Fields/foreign bodies.
Madison Masters5 min6 Qs02
PFTs & asthma
Diagnosis: variable airflow limitation — BD response ≥12% and 200 mL, PEF variability, methacholine drop ≥20%, or ICS response.
Madison Masters5 min6 Qs03
COPD
Diagnosis: post-BD FEV1/FVC <0.7 (or <LLN) + symptoms. Grade 1–4 by FEV1%; Group A/B/E by symptoms and exacerbations.
Amy Zhao5 min6 Qs04
Interstitial lung disease
Progressive dyspnea, dry cough, velcro crackles, clubbing, restriction + low DLCO. History: CTD, drugs, birds/mold, radiation, smoking.
Sophie Nick5 min6 Qs05
VTE diagnostics
Pretest probability first: Wells (outpatient), Geneva, PERC (rule-out), YEARS/PEGeD for pregnancy and probability-adjusted D-dimer.
Alberto M. Sobrero5 min6 Qs06
VTE management
Anticoagulate all except contraindications. DOAC > VKA (APS: VKA) > LMWH (pregnancy, some GI cancers).
Alberto M. Sobrero5 min6 Qs07
Pulmonary hypertension
PH = mPAP ≥20 mmHg. Precapillary: PVR >2 and PCWP ≤15. Postcapillary: PCWP >15, PVR ≤2. Mixed: both high.
Dan Rubin & Rahul Gupta5 min6 Qs08
ARDS
Berlin: ≤7 days, bilateral opacities, not fully explained by HF, PEEP ≥5, P/F ≤300 (mild 200–300, moderate 100–200, severe ≤100).
Tarun Ramesh5 min6 Qs