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diagnosis treatment differential infections endocarditis fungal syndrome adultonset aids algorithm antiretroviral art aspergillus blastomycosis brain causes clinical coagulation coccidioidomycosis crypto
Initiation of ART in HIV patients with Opportunistic Infections • Pulmonary TB and CD4 cell count
Initiation of ART in HIV ... Infections • Pulmonary ... count >50 • CNS ... Opportunistic #Infections #management ... #infectiousdiseases
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
borrelia, Rubeola, HBV ... Coxsackie, CMV, EBV, HIV ... hepatitis • Pulmonary ... #diagnosis #management ... #treatment #rheumatology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
SOT, Advanced HIV ... presentations: • Pulmonary ... Rhinosinusitis, CNS ... vori Infectious Diseases ... treatment #fungal #infectiousdiseases
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Can cause TYPE IV ... : • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... Sjogrens #Syndrome #Rheumatology ... #Diagnosis #Management
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
progressing GN • New pulmonary ... of shoulder and hip ... HTN • Check: HBV ... chorioretinitis, CNS ... Differential #Diagnosis #Rheumatology
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework Disease ... angioinvasive disease ... Lymphadenopathy, CNS ... #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
symptoms • Rheumatologic ... especially the CNS ... MC: CNS CSF: • ... ) #Mycoses #InfectiousDiseases ... Fungal #Diagnosis #Management
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Thromboembolism (7%) • CNS ... • Severe Liver Disease ... deficiency) • HIT ... causes #treatment #management ... #hematology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Pre-existing valvular disease ... Congenital heart disease ... Cerebral > Splenic, pulmonary ... Endocarditis #diagnosis #management ... #cardiology
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