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differential management causes infectiousdiseases radiology treatment activetb chest chronic clinical dyspnea edema latenttb lung radiologyassistant renal tb tuberculosis aa acute
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Diagnosis Framework ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... #Differential #Diagnosis
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
Etiologies Unusual Infections ... - Alveolar proteinosis ... Others: - Pulmonary ... infarction/PE, CHF ... NonResolving #Pneumonia #diagnosis
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
- Differential Diagnosis ... Interstitial Edema, Alveolar ... Crazy Paving: Alveolar ... #Differential #Diagnosis ... #pulmonary #radiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
- Differential Diagnosis ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF ... #Differential #Diagnosis
Notice that even within each lobe there is a gravity dependent difference in density. This is only
even within each lobe ... exsudate due to infection ... Clinical #Radiology #CTChest ... #CHF #Alveolar ... #Pulmonary #Edema
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient • Alveolar ... Weakness, Loss of Chest ... Left Shunt - Anatomic ... #AA #Gradient #alveolar ... #differential #diagnosis
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Definition: Diffuse alveolar ... Differential Diagnosis ... allopurinol), Infection ... high resolution chest ... DAH, rule out infection
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
reach the terminal alveoli ... taken up by the alveolar ... Progression: • Upper lobe ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
reach the terminal alveoli ... taken up by the alveolar ... Progression: • Upper lobe ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT chest ... confirm DAH, r/o infection ... leading to diffuse alveolar ... typically seen on chest ... #differential #diagnosis
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