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Pulm PEEPS

@pulmpeeps.bsky.social

1.6K followers 100 following 82 posts

Our mission is to provide multiple formats for learners to learn pulmonary and critical care medicine 🫁 Co-founders @KMonty_MD and @david_furfaro

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Pulm PEEPS @pulmpeeps.bsky.social · Aug 12

We're so excited to be launching a new series on our platform! Today's episode is the first Pulm PEEPs Pearl. In this series, Furf and Monty provide high yield reviews of core PCCM topics in 15 minutes or less. Today's episode is about ICI Pneumonitis. What other topics do you want covered?

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Pulm PEEPS @pulmpeeps.bsky.social · 1d

New episode out today!! We're back with BMJ Thorax to review high yield articles about bronchiectasis. We'll discuss new and emerging treatment options, and cohort studies on etiologies and quality of life. Listen wherever you get your podcasts or at www.pulmpeeps.com

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Pulm PEEPS @pulmpeeps.bsky.social · 3d

Patterns of nodularity on CT from our most recent Fellows' Case Files from KUMC

www.pulmpeeps.com/2025/10/01/1...

Apple: podcasts.apple.com/us/podcast/f...

Spotify: open.spotify.com/episode/75Dx...

Amazon:
music.amazon.com/podcasts/913...

Reposted by Pulm PEEPS

NEJM.org @nejm.org · 5d

A 21-year-old woman who had presented to the pulmonary clinic with a 7-day history of sore throat and cough was noted to have a vertebral abnormality on chest radiograph. 1/2

#MedSky #PulmSky

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Reposted by Pulm PEEPS

Mithu Maheswaranathan, MD @mithurheum.bsky.social · 7d

🆕 Collaboration with RheumNow 🔵
*3-Part Series on Interstitial Lung Disease*

Part 3️⃣: Treatment of #ILD
💊 Medication Options for Rx of ILD
🫁 How to Treat Different ILD Subtypes
🚶🏻‍♀️Holistic Approach to Management ❌🚬

#RheumSky #PulmSky #IPF #Rheum #InterstitialLungDisease

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Reposted by Pulm PEEPS

@IM_Crit_ @imcrit.bsky.social · 8d

Friendly reminder:

During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to

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Reposted by Pulm PEEPS

M Velia Antonini @foamecmo.bsky.social · 6d

#ARDS in pts with malignancies? Experience high mortality, irrespective of #ECMO. Nuanced ICU goals-of-care discussions needed, as caution when considering
#ECLS: general recommendations may not apply to this population
#FOAMcc @intenscaremed.bsky.social @schellongowski.bsky.social
🔓 rdcu.be/eI44I

theelso.bsky.social @theelso.bsky.social · 6d

#ARDS in patients with cancer
🔍 715 pts/13 countries 🇪🇺 🇺🇸 🇨🇦: 73.4% hematologic malignancies, 26.6% solid tumors; 31.2% HSCT
🪦 90-day mortality 73.2% (82.2% if severe, ECMO/not)
🚧 mortality older age, peripheral vascular disease, severe ARDS, #AKI, ICU admission as time-limited trial
🔓 rdcu.be/eI44I

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Reposted by Pulm PEEPS

Critical Care Reviews @criticalcarereviews.com · 5d

Today's Paper of the Day is:

Management of Refractory Anaphylaxis: An Overview of Current Guidelines.

https://criticalcarereviews.com/latest-evidence/paper-of-the-day

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

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Reposted by Pulm PEEPS

OLS @olofl-s.bsky.social · 6d

A man in his 60s seeks the ED for chest pain starting a couple of hours before. ECG with lateral ST depression (almost painfree at this point). After #POCUS images the interventionalist agreed to take him. 100% LCX occlusion. Patient wins. #EMIMCC

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Reposted by Pulm PEEPS

@IM_Crit_ @imcrit.bsky.social · 6d

This systematic review included 65 studies & 17,008 patients with #sepsis. The occurence rate of each one of the three #echocardiographic phenotypes, namely left ventricular systolic dysfunction (LVSD), LV diastolic dysfunction (LVDD), & RV dysfunction (RVD) peaked at 48h:

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Pulm PEEPS @pulmpeeps.bsky.social · 6d

Some infographics applicable to yesterday's episode here. Listen in for some more pearls!

www.pulmpeeps.com/2025/10/01/1...

Pulm PEEPS @pulmpeeps.bsky.social · 6d

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

Pulm PEEPS @pulmpeeps.bsky.social · 6d

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 👇

Pulm PEEPS @pulmpeeps.bsky.social · 6d

Thanks for everyone who filled out our polls yesterday! The majority of you thought this was tuberculosis, and agree that the miliary pattern, young age, origin from a TB endemic area, and presence of CNS lesions all fits. BUT.....

For a reminder here was the original CT 👇

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Pulm PEEPS @pulmpeeps.bsky.social · 7d

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

107. Fellows’ Case Files: University of Kansas Medical Center KUMC | PulmPEEPs

www.pulmpeeps.com

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Pulm PEEPS @pulmpeeps.bsky.social · 7d

And some other imaging to help with your diagnostics.

What is on your differential for this patient?? What next steps are you taking?

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Pulm PEEPS @pulmpeeps.bsky.social · 7d

🚨🔊 New episode out today! Case files at KUMC!

A 26 year old non-smoking man who immigrated from India and now lives in the mid-west US presents with a generalized tonic-clonic seizure in the setting of 6 months of cough and dyspnea. Here is the initial CT

#Pulmonary
#CriticalCare
#MedicalEducation

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Reposted by Pulm PEEPS

josh farkas 💊 @pulmcrit.bsky.social · 13d

New study supporting phenobarb monotherapy for EtOH withdrawal😍

We’ve been seeing more pts with *combined* withdrawal lately (eg opioid + EtOH)

IMHO phenobarb is esp useful in complex withdrawal to tx EtOH w/d, avoid delirium, and avoid excessive GABA #EMIMCC

#1/2

jamanetwork.com/journals/jam...

Use of Phenobarbital for Treating Alcohol Withdrawal

This quality improvement study evaluates the implementation, clinical outcomes, and safety of an electronic health record order set for intravenous weight-based phenobarbital loading for treating alco...

jamanetwork.com

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Reposted by Pulm PEEPS

Anand Swaminathan @emswami.bsky.social · 12d

Diagnosing Pericarditis:
-Pericardium is electrocardiographically silent
-Pericarditis w/ ECG changes = pericarditis w/ epicarditis or pericarditis w/ myocarditis.
-If troponin markedly elevated, trending up or patient looks toxic, admit to workup myocarditis

youtube.com/shorts/jI6Zp...
#EMIMCC

Pericarditis and ECG Changes #emergencymedicine #criticalcare #cardiology

YouTube video by EMSwami

youtube.com

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Reposted by Pulm PEEPS

Tan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · Aug 28

Tracheomalacia 🫁

#Chestrad
#radiology

@laurengroner.bsky.social
@drfurkanufuk.bsky.social
@pulmpeeps.bsky.social

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Reposted by Pulm PEEPS

Jack Iwashyna @iwashyna.bsky.social · 20d

Dr Meghan Price taking us through her differential diagnosis for non-resolving her pneumonia — from a case she did an amazing job with

@pulmpeeps.bsky.social @hopkinspccm.bsky.social