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differential infections infectiousdiseases pulmonary abscess amiodarone cns disease diuresis diuretics excretion fungal gravis hiv igg4 induced medications myasthenia mycoses nephrology
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... seen • Chest CT ... #differential #causes ... #management #treatment
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... 50% in nec fasc Diagnostic ... involvement (2+): kidneys ... , liver, lung/ARDS ... #management #diagnosis
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
biliary, renal, lung ... , lymph node), high ... concentration PET-CT ... lesions, meninges, kidneys ... #management #phenotypes
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
Infection in HIV / AIDS ... Antimicrobial treatment ... enhancement on CT ... Demyelinating disease caused ... #AIDS #opportunistic
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
More likely to cause ... undergo chest CT ... glucocorticoids - can cause ... exacerbation at high ... #management #neurology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Loop Diuretics; High-Ceiling ... stones caused by ... Tolvaptan) • Treatment
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... organizing pneumonia, ARDS ... Exclude other causes ... macrophages Treatment ... #management #Toxicology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
DX relies on a high ... yeast • At risk: AIDS ... change in the lungs ... nails, bronchi, lungs ... #Management #Infections
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