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[[Image:Streptococcus Chemical pneumonitise.jpg|right|200px]]
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{{Infobox Disease |
  Name          = Chemical pneumonitis |
  Image          = |
  Caption        = |
  DiseasesDB    = 10166 |
  ICD10          = {{ICD10|J|12||j|09}}, {{ICD10|J|13||j|09}}, {{ICD10|J|14||j|09}}, {{ICD10|J|15||j|09}}, {{ICD10|J|16||j|09}}, {{ICD10|J|17||j|09}}, {{ICD10|J|18||j|09}}, {{ICD10|P|23||p|20}} |
  ICD9          = {{ICD9|480}}-{{ICD9|486}}, {{ICD9|770.0}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  MeshName      = Chemical pneumonitis |
  MeshNumber    = C08.381.677 |
}}
{{Chemical pneumonitis}}
{{Chemical pneumonitis}}


'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:mgibson@perfuse.org] Phone:617-632-7753; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh@perfuse.org]; [[Philip Marcus, M.D., M.P.H.]][mailto:pmarcus192@aol.com]
'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh13579@gmail.com]


==[[Chemical pneumonitis overview|Overview]]==
==[[Chemical pneumonitis overview|Overview]]==
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==[[Chemical pneumonitis epidemiology and demographics|Epidemiology and Demographics]]==
==[[Chemical pneumonitis epidemiology and demographics|Epidemiology and Demographics]]==


==[[Chemical pneumonitis risk factors|Risk factors]]==
==[[Chemical pneumonitis risk factors|Risk Factors]]==


==[[Chemical pneumonitis natural history, complications, and prognosis|Natural History, Complications and Prognosis]]==
==[[Chemical pneumonitis natural history, complications, and prognosis|Natural History, Complications and Prognosis]]==
'''Prognosis predictor scores:''' [[CURB-65]] | [[Chemical pneumonitis severity index]] | [[Chemical pneumonitis medical therapy#Criteria for severe community acquired Chemical pneumonitis|Criteria for severe community acquired Chemical pneumonitis]]


==Diagnosis==  
==Diagnosis==  


[[Chemical pneumonitis diagnostic criteria | Diagnostic criteria]] | [[Chemical pneumonitis history and symptoms| History and Symptoms]] | [[Chemical pneumonitis physical examination | Physical Examination]] | [[Chemical pneumonitis laboratory studies |Laboratory Findings]] | [[Chemical pneumonitis chest x ray|Chest X Ray]]
[[Chemical pneumonitis history and symptoms| History and Symptoms]] | [[Chemical pneumonitis physical examination | Physical Examination]] | [[Chemical pneumonitis laboratory findings|Laboratory Findings]] | [[Chemical pneumonitis chest x ray|Chest X Ray]] | [[Chemical pneumonitis CT|CT]] | [[Chemical pneumonitis MRI|MRI]] | [[Chemical pneumonitis other imaging findings|Other Imaging Findings]] | [[Chemical pneumonitis other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
[[Chemical pneumonitis medical therapy#Chemical pneumonitis site of care decision|Site of care decision]] | [[Chemical pneumonitis medical therapy|Medical Therapy]] | [[Chemical pneumonitis medical therapy#Other treatments consideration|Other treatments consideration]] | [[Chemical pneumonitis prevention|Prevention]] | [[Chemical pneumonitis medical therapy#Management of non-responding Chemical pneumonitis|Management of non-responding Chemical pneumonitis]]
[[Chemical pneumonitis medical therapy|Medical Therapy]] | [[Chemical pneumonitis primary prevention|Primary Prevention]] | [[Chemical pneumonitis secondary prevention|Secondary Prevention]] | [[Chemical pneumonitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Chemical pneumonitis future or investigational therapies|Future or Investigational Therapies]]
[[Category:Diseaase]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
[[Category:Chemical pneumonitis|Chemical pneumonitis]]
[[Category:Emergency medicine]]


{{WH}}
==Case Studies==
{{WS}}
[[Chemical pneumonitis case study one|Case #1]]


==Diagnosis==
[[Category:Toxicology]]
* Documented aspiration may be absent or present
[[Category:Pulmonology]]
* History, symptoms, physical examination
[[Category:Disease]]
* CXR with infiltrates in dependent pulmonary lobe
* Bronchoscopy - Bronchial inflammation
===Chest XRay===
* Infiltrates on chest Xray
** Either unilateral or bilateral
** Commonly in the dependent pulmonary segment
** Dependent lobes in the upright position are the lower lobes
** Dependent lobes in recumbent position are superior segments of the lower lobes and the posterior segments of the upper lobes.
===Bronchoscopy===
* Erythema of the bronchi


==Medical therapy==
[[Category:Pneumonia]]
* Tracheal suction (observed aspiration). However, the initial lung injury can't be prevented as it occurs rapidly
===Supportive Pulmonary therapy===
* Positive pressure ventilation
* Intravenous fluids (high molecular weight colloid)
* [[Sodium nitroprusside]] infusion in the pulmonary artery
* Mechanical ventilation (if respiratory failure)
* Antimicrobial agents prophylactically for superimposed bacterial infection
* Use of steroids is controversial
 
==References==
{{reflist|2}}
 
[[Category:Diseaase]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
[[Category:Chemical pneumonitis|Chemical pneumonitis]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Latest revision as of 17:21, 18 September 2017

Chemical pneumonitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Chemical pneumonitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Chemical pneumonitis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Chemical pneumonitis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chemical pneumonitis

CDC onChemical pneumonitis

Chemical pneumonitis in the news

Blogs on Chemical pneumonitis

Directions to Hospitals Treating Chemical pneumonitis

Risk calculators and risk factors for Chemical pneumonitis

For patient information click here

Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Chemical pneumonitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1 Template:WH Template:WS