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differential management activetb infectiousdiseases latenttb tb tuberculosis abscess bronchiectasis causes cd4 chest clinical ct emergencies hemeonc hivaids miliary mycobacteria mycoses
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... : Imaging (CXR ... /- High res CT chest ... #workup #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
(NTM) • Fungal ... Tuberculosis Diagnosis ... and Culture • CXR ... disease • Check CXR ... Tuberculosis #TB #Diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Blood cultures • CXR ... Prevotella • Fungal ... #Abscess #pulmonary
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... Differential Diagnosis ... Opacities: • Infectious ... - Endemic fungi ... #pulmonary #CXR
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
(NTM) • Fungal ... Tuberculosis Diagnosis ... and Culture • CXR ... disease • Check CXR ... Tuberculosis #TB #Diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
aches, joint pain, chest ... MC: CNS CSF: • ... India ink prep CSF ... change in the lungs ... nails, bronchi, lungs
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 ... #differential #diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
in the adjacent lung ... of the affected lung ... parenchyma Diagnosis ... mycobacteria Treatment ... #differential #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Skin exam for infection ... disease b) CHF ... unless prior heart/lung ... stratification #diagnosis
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
if SSTI or port infection ... suspected) - CT chest ... > 4 days → add fungal ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
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