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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... : • 3 syndromes ... of a "flu-like syndrome ... lymphadenopathy, • Abdominal ... Infections #HIV #AIDS #pulmonary
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... - Diagnosis: ... • CTD workup: ANA ... Treatment: • ... #ILD #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Lung Ultrasound ... pleura reflection) Pneumonia ... Respiratory Distress Syndrome ... #differential #diagnosis ... #signs #Lung #POCUS
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... sliding: Pulmonary ... NOT definitively diagnose ... #Lung #POCUS #clinical ... #ultrasound
Rupturing AAA on Point of Care Ultrasound (POCUS)

"Elderly patient presents with AMS and Hypotension RUSH exam
Point of Care Ultrasound ... (POCUS) "Elderly ... presents with AMS and ... IVC collapsible, Lungs ... #Clinical #Abdominal
Fusiform Abdominal Aortic Aneurysm (AAA) on Long Axis POCUS

Just a simple fusiform abdominal aortic aneurysm in
) on Long Axis POCUS ... color. >3cm is diagnostic ... risk of rupture and ... #Long #POCUS #Aorta ... #clinical #ultrasound
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
, pulmonary congestion ... due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Atelectasis, ARDS, Pneumonia ... , Interstitial Lung ... UnremarkableLab #AA ... #differential #diagnosis
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
and Lung-Diaphragm ... #clinical #lungcardiac ... lungdiaphragam #ultrasound ... #pulmonary #differential ... #diagnosis #mimics
Lung POCUS: Irregular pleural line with patchy B-lines. Seen in viral (including COVID19) and bacterial pneumonia.
Lung POCUS: Irregular ... including COVID19) and ... This patient had ... #Lung #POCUS #Pulmonary ... #Ultrasound #Clinical