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differential infectiousdiseases clinical evaluation lung alveolar alveolaredema brain bronchiectasis cd4 chest contusion crypto cryptococcal dependent edema fungal gravity highres hires
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... Imaging (CXR +/- High ... res CT chest scan ... #workup #diagnosis
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... - Differential Diagnosis ... #CT #Patterns # ... Differential #Diagnosis ... #pulmonary #radiology
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
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
parenchyma Diagnosis ... : • HRCT (high-resolution ... chest CT) • Broncho-arterial ... , CCP, ANCA • HIV ... #differential #diagnosis
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
of right middle lobe ... mucogenicum • HIV ... massiliense in CF ... Symptoms, Imaging, high ... res CT) • Exclusion
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... Diagnosis Framework ... Aspergillosis • High ... • CT: Halo sign ... #HIV #AIDS #pulmonary
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... disease b) CHF ... ASA class If high ... of Surgery: • High ... stratification #diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
DX relies on a high ... affected tissue • High-dose ... aches, joint pain, chest ... yeast • At risk: AIDS ... MC: CNS CSF: •
Cryptococcal meningitis on T2 MRI 30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... Cryptococcal meningitis, hiv ... of prior silent pulmonary ... sign on mri) HIV-infected ... Brain #clinical #radiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... trauma are diagnosed ... does a better job ... wall following high ... #Radiology #CTChest
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