14 results
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... in 1 major criterion ... criteria: Septic shock ... #Community #Acquired ... #severe #psi #diagnosis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection (CDI ... Toxic Megacolon, Shock ... Perforation) Pathophysiology ... post-ABx, but can ... be community-acquired
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... in 1 major criterion ... responsive to IV ... #Community #Acquired ... #Pneumonia #diagnosis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Disease by CD4 ... Count: Any CD4 ... Seasonal influenza CD4 ... Blastomycosis CD4
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
pneumonia Atypical ... Consider two grams IV ... piperacillin-tazobactam Septic Shock ... #Acquired #Pneumonia ... #CAP #Antibiotics
Acute Retroviral Syndrome
Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection

 •
during transient CD4 ... manifestations Labs: • CD4 ... -1 and HIV-2 • ... progression by slowing CD4 ... #HIV #diagnosis
Macrolides - Erythromycin, Clarithromycin, Azithromycin - Antibiotics Class Overview

50S Ribosomal Inhibitor (PO and IV)
Spectrum: Atypical organisms
exacerbations, community-acquired ... pneumonia, sinusitis ... Ceftriaxone for CAP ... prophylaxis in HIV ... patients with CD4
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Affects 1:25,000 ... -> 40 years • Can ... frequent and severe community-acquired ... infections: Pneumonia ... , HIV) • Glucocorticoid
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
ART ↑ improves CD4 ... low pretreatment CD4 ... occur at any CD4 ... an increase in CD4 ... Depends On: • CD4
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
dementia Pathophysiology ... proliferation • ARVs can ... Diagnosis: MRI ... The clinical syndrome ... and with low CD4