Table 7 - Clinical Advisor



Table II. Pulmonary algorithms

CT : Computed tomography scan

PERDS: Peri-engraftment respiratory distress syndrome

DAH: Diffuse alveolar hemorrgahe

IPS: Idiopathic pneumonia syndrome

CHF: Congestive heart failure

BAL: bronchoalveolar lavage

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Bronchoscopy with BAL

Chest x-ray and

CT scan

Steroids

IPS

Clear

Infiltrate

Bloody

Infection

findings

Diffuse

Sepsis

High dose steroids

experimental therapy

Bronchoscopy with BAL

Lobular

Appropriate

treatment

PERDS

CHF or

volume overload

Normal

Treat according-ly

If diagnosis is NOT certain and patient is worsening,

consider lung biopsy via

bronchoscopy (transbronchial) or

video-assisted thoracoscopic surgery (VATS)

Antimicrobial

treatment

Bronchiolitis

obliterans

Pulmonary function tests

Normal

Neutrophils

If diagnosis is NOT certain and patient is worsening

consider lung biopsy via

video-assisted thoracoscopic surgery (VATS)

Obstructive

Neutrophils

DAH

Respiratory symptoms or hypoxemia

Normal or

restrictive

Infection

Other causes:

cardiac

Neutrophils

only

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