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🚨 Interesting non Covid case yesterday! 🤓
25 YO male, pauci-immune GN previously treated w/ ciclosporine + ⬆️ dose steroids. Arrives @ triage w/ SOB, fever, AKI KDIGO 2 & this CT scan:
25 YO male, pauci-immune GN previously treated w/ ciclosporine + ⬆️ dose steroids. Arrives @ triage w/ SOB, fever, AKI KDIGO 2 & this CT scan:
dDx was DAH vs acute pulmonary edema (❤️renal syndrome type 1 vs 3). NIV was started w/ excellent response, FiO2 ⬇️ from 100% to 40%. Met the pt yesterday, already on abs & diuretics, but still ⬇️ UO. Neph wanted to star RRT. Pt had Gallavardin phenomenon on 🩺 + 🥶. #POCUSFirst
PLAx
