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differential causes hypoxemia infections management treatment abscess acquired aids algorithm alveolar arterial bronchiectasis cap cd4 community evaluation extraarticular gradient hiv
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
- Differential Diagnosis ... • Interstitial lung ... disease • Pulmonary ... Malformation • Severe Pneumonia ... Abnormalities • Chest
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Atelectasis, ARDS, Pneumonia ... • Diffusion Defect ... UnremarkableLab #AA ... #Hypoxia #hypoxemia ... #differential #diagnosis
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... Framework Disease ... • CT: Halo sign ... , pleural effusion ... Infections #HIV #AIDS #pulmonary
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... /- High res CT chest ... Infectious Diseases ... HIVAIDS #workup #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... ) • CXR upright ... Clindamycin in case of PCN ... #Abscess #pulmonary
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
pain, pleural effusion ... on CXR • RA inflammation ... disease/pulmonary ... pathophysiology #signs ... #symptoms #diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... Loss of weight • Chest ... Nasal polyps and signs ... in the adjacent lung ... of the affected lung
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
(CAP) - Diagnosis ... Signs/Symptoms: ... • Pleuritic chest ... (LR + 2.7) • Hypoxia ... Management #treatment #Pulmonary
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