9 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... embolism, Pulm edema ... failure, COPD, Lung ... CXR +/- High res CT
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
CT • Thickened ... DDx: PAP, pulm edema ... pna, pulm hge, ARDS ... #Lung #Pulmonary ... #diagnosis #radiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Left Shunt - Anatomic ... : Atelectasis, ARDS ... Edema, Atelectasis ... , Obstructive Lung ... #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 ... capillary leak like in ARDS ... Clinical #Radiology #CTChest ... #Pulmonary #Edema
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
edema must be present ... on a chest radiograph ... computed tomographic (CT ... lobar collapse, lung ... Definition #Criteria #Diagnosis
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
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 ... respiratory failure or ARDS ... #differential #diagnosis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... • CT: Halo sign ... #Infections #HIV ... #AIDS #pulmonary
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