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differential infectiousdiseases management clinical edema aa alveolaredema amiodarone arterial bal bronchoalveolar bronchoscopy causes cd4 dependent evaluation fungal gradient gravity hiv
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Left Shunt - Anatomic ... : Atelectasis, ARDS ... , Interstitial Lung ... #AA #Gradient #alveolar ... #differential #diagnosis
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... failure, COPD, Lung ... CXR +/- High res CT ... #workup #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
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
of right middle lobe ... massiliense in CF ... • Dyspnea, • Chest ... Diagnosis Of NTM ... Imaging, high res CT
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... confirm DAH, r/o infection ... leading to diffuse alveolar ... sparing of the lung ... CT
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... • CT: Halo sign ... phagocytic function of alveolar ... #AIDS #pulmonary
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... organizing pneumonia, ARDS ... macrophages in alveolar ... failure - Infectious
Bronchoalveolar Lavage (BAL) on Bronchoscopy BRONCHOALVEOLAR LAVAGE is a technique used in bronchoscopy for several diagnostic
bronchoscopy for several diagnostic ... concern for an infectious ... concern (guided by chest ... — Infection — Diagnosing ... Alveolar Proteinosis
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 Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
- Differential Diagnosis ... blood cells in the lung ... the right middle lobe ... interstitium and alveoli ... #differential #diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
aches, joint pain, chest ... yeast • At risk: AIDS ... MC: CNS CSF: • ... change in the lungs ... nails, bronchi, lungs
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