Pulm PEEPS
@pulmpeeps.bsky.social
Our mission is to provide multiple formats for learners to learn pulmonary and critical care medicine 🫁 Co-founders @KMonty_MD and @david_furfaro
Some infographics applicable to yesterday's episode here. Listen in for some more pearls!
www.pulmpeeps.com/2025/10/01/1...
www.pulmpeeps.com/2025/10/01/1...
October 2, 2025 at 4:32 PM
Some infographics applicable to yesterday's episode here. Listen in for some more pearls!
www.pulmpeeps.com/2025/10/01/1...
www.pulmpeeps.com/2025/10/01/1...
This was an unusual case, and thinking about tuberculosis first is the right diagnostic approach. However, this case does illustrate:
1) Not all miliary patterns are TB
2) The importance of maintaining a high index of suspicion, and confirming diagnoses
1) Not all miliary patterns are TB
2) The importance of maintaining a high index of suspicion, and confirming diagnoses
October 2, 2025 at 4:32 PM
This was an unusual case, and thinking about tuberculosis first is the right diagnostic approach. However, this case does illustrate:
1) Not all miliary patterns are TB
2) The importance of maintaining a high index of suspicion, and confirming diagnoses
1) Not all miliary patterns are TB
2) The importance of maintaining a high index of suspicion, and confirming diagnoses
The patient was only getting worse after starting empiric TB treatment. A bronchoscopy with EBUS biopsy was pursued to get cultures, resistance pattern, and diagnostic clarity.
This showed metastatic pulmonary adenocarcinoma.
He was started on chemo with dramatic response 👇
This showed metastatic pulmonary adenocarcinoma.
He was started on chemo with dramatic response 👇
October 2, 2025 at 4:32 PM
The patient was only getting worse after starting empiric TB treatment. A bronchoscopy with EBUS biopsy was pursued to get cultures, resistance pattern, and diagnostic clarity.
This showed metastatic pulmonary adenocarcinoma.
He was started on chemo with dramatic response 👇
This showed metastatic pulmonary adenocarcinoma.
He was started on chemo with dramatic response 👇
Listen to our latest episode to hear more about working through this differential, the ultimate diagnosis, and some clinical pearls along the way
www.pulmpeeps.com/2025/10/01/1...
@pulmcrit.bsky.social @pulmtoilet.bsky.social @atscommunity.bsky.social @lancetrespirmed.bsky.social
www.pulmpeeps.com/2025/10/01/1...
@pulmcrit.bsky.social @pulmtoilet.bsky.social @atscommunity.bsky.social @lancetrespirmed.bsky.social
107. Fellows’ Case Files: University of Kansas Medical Center KUMC | PulmPEEPs
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October 1, 2025 at 10:22 AM
Listen to our latest episode to hear more about working through this differential, the ultimate diagnosis, and some clinical pearls along the way
www.pulmpeeps.com/2025/10/01/1...
@pulmcrit.bsky.social @pulmtoilet.bsky.social @atscommunity.bsky.social @lancetrespirmed.bsky.social
www.pulmpeeps.com/2025/10/01/1...
@pulmcrit.bsky.social @pulmtoilet.bsky.social @atscommunity.bsky.social @lancetrespirmed.bsky.social
And some other imaging to help with your diagnostics.
What is on your differential for this patient?? What next steps are you taking?
What is on your differential for this patient?? What next steps are you taking?
October 1, 2025 at 10:22 AM
And some other imaging to help with your diagnostics.
What is on your differential for this patient?? What next steps are you taking?
What is on your differential for this patient?? What next steps are you taking?
Pathology is consistent with a non-caseating granuloma.
Imaging and pathology were consistent with sarcoidosis and after negative work-up for alternative causes. The patient will follow-up with outpatient pulmonary for sarcoidosis management. Don't forget about the Sarcoid 1-2-3 sign!
Imaging and pathology were consistent with sarcoidosis and after negative work-up for alternative causes. The patient will follow-up with outpatient pulmonary for sarcoidosis management. Don't forget about the Sarcoid 1-2-3 sign!
September 25, 2025 at 10:13 AM
Pathology is consistent with a non-caseating granuloma.
Imaging and pathology were consistent with sarcoidosis and after negative work-up for alternative causes. The patient will follow-up with outpatient pulmonary for sarcoidosis management. Don't forget about the Sarcoid 1-2-3 sign!
Imaging and pathology were consistent with sarcoidosis and after negative work-up for alternative causes. The patient will follow-up with outpatient pulmonary for sarcoidosis management. Don't forget about the Sarcoid 1-2-3 sign!
What do you think the diagnosis is based on this histopathology?
September 25, 2025 at 10:13 AM
What do you think the diagnosis is based on this histopathology?