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Pulmonary symptoms in HIV-infected patient by CD4 count

By Dr. Sara Dong @swinndong via #IDFellowCase
#ID  #Infectious
Pulmonary symptoms ... IDFellowCase #ID #Infectious ... Diseases #Infections ... Differential #Ddx #Diagnosis ... Microbiology #HIV #AIDS #pneumonia
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... identified, Strep pneumoniae ... (Mycoplasma pneumoniae ... Evaluation: Imaging (CXR ... #workup #diagnosis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... Constitutional symptoms ... #HIV #AIDS #pulmonary ... #differential #diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... allopurinol), Infection ... , anti-CCP • CXR ... DAH, rule out infection ... #differential #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... symptoms (e.g., ... #Pneumonia #Venn ... #Pulmonolary
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... - Imaging: • CXR ... - Diagnosis: ... , Pulmonary lymphoma ... #ILD #diagnosis
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Differential Diagnosis ... Opacities: • Infectious ... rarely typical pneumonia ... #pulmonary #CXR ... #clinical #CT
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... • Indolent symptoms ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Complications of Measles: Pathogenesis and Clinical Findings
 • ADEM -> Fever, headache, neck stiffness, BBD, mental
Pathogenesis and Clinical ... Pericarditis • Pneumonia ... Opportunistic infections ... Complications #diagnosis ... #signs #symptoms
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
the differential diagnosis ... post-obstructive pneumonia ... - Chronic post-infection ... #Diagnosis #Radiology ... #Pulmonary #CXR