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management lung differential infections infectiousdiseases syndrome acquired amiodarone bilateral biphasic blines cap clinical community cop cryptogenic encephalopathy fungal hiv illness
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... • CT: Halo sign ... Constitutional symptoms ... Infections #HIV #AIDS ... #pulmonary #differential
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... dysfunction) • Pulmonary ... • Shock and multi-organ ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
travel hx, home meds ... /lung sliding: Pulmonary ... edema, ARDS, interstitial ... partially seen shred sign ... NOT definitively diagnose
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 Cryptogenic Organizing Pneumonia - Illness Script PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
Males=Females SIGNS ... /SYMPTOMS: • Acute ... identified (autoimmune, meds ... , neoplastic) TREATMENT ... #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
(CAP) - Diagnosis ... Signs/Symptoms: ... #CAP #Diagnosis ... #Management #treatment ... #Pulmonary #Community
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... , ARDS, DAH, solitary ... gradually with symptoms ... Improvement in symptoms ... macrophages Treatment
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
of HIV/AIDS patients ... be present: • AIDS ... Lymphadenitis, pulmonary ... lymphadenitis, pulmonary ... cryptococcomas, cavitating pneumonia
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... Neurological symptoms ... epilepticus Treatment ... underlying cause • Treatment ... Seizures: Treat with AEDs
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
acute respiratory symptoms ... symptoms • Rheumatologic ... symptoms • Pericarditis ... yeast • At risk: AIDS ... fever • Septic shock
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