21 results
Initiation of ART in HIV patients with Opportunistic Infections
 • Pulmonary TB and CD4 cell count
Pulmonary TB and CD4 ... count >50 • CNS ... regardless of CD4 ... of starting OI treatment ... Infections #management #infectiousdiseases
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
CNS Ring-Enhancing ... Toxoplasmosis (CD4 ... Lymphoma (CD4 < ... RingEnhancing #Lesions #Brain ... #differential #
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
) Fungal: • CD4 ... Blood and sputum cx ... Infections #HIVAIDS #workup ... diagnosis #evaluation #differential ... #CD4
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... occur when the CD4 ... Antimicrobial treatment ... #Infections #differential ... opportunistic #InfectiousDiseases
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management Differential ... STAT Labs (BMP, CBC ... Hypoxemia #Hypoxia #Workup ... diagnosis #Management #treatment
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Additional metastatic workup ... Consider: Spine, CNS ... or GU tract By Brian ... #candidiasis #treatment
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
affecting the brain ... nervous system (CNS ... diagnosis and treatment ... #inflammatory #differential
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
through the blood-brain ... PML (JC virus) Brain ... HIV and with low CD4 ... Treatment: • HAART ... treatment • Cognitive
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
trend response to treatment ... Puncture only if CNS ... Coccidioides #Diagnosis #workup ... #infectiousdiseases
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... • Traumatic brain ... #Hyperthermia #Differential ... Diagnosis #Management #Workup