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Additional work is needed to characterize the pathophysiology and to identify the definitive causes. Clinical Take-Home Points: The clinical presentation of EVALI based on this case series typically occurs in young males with subjective fever, dyspnea, cough, abdominal pain, and diarrhea which overlaps with many respiratory illnesses (including the recent COVID outbreak) and remains a diagnosis of exclusion

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Key integration points include: Aligning vent direction with airflow goals Avoiding direct conflict between vents and smoke eaters Balancing air pressure to prevent stagnation Ensuring return vents support smoke removal, not redistribution In many cases, the solution isnt replacing HVACits adjusting it