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
-----------------------
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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