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differential management infections infectiousdiseases abscess amiodarone bilateral blines bronchiectasis causes cd4 clinical cop cryptogenic cytomegalovirus evaluation fungal hivaids immune induced
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
) in HIV-AIDS Patients ... or signs. ... Pancreatitis • Pulmonary ... #HIV #AIDS #diagnosis ... #symptoms
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework ... Coccidioidomycosis, CMV ... • CT: Halo sign ... Constitutional symptoms ... #AIDS #pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
travel hx, home meds ... sliding: Pulmonary ... edema, ARDS, interstitial ... partially seen shred sign ... NOT definitively diagnose
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 Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... • CD4 < 200: CMV ... failure, COPD, Lung ... HIVAIDS #workup #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... cause: Aspiration pneumonia ... for Klebsiella pneumonia ... Cavitation > 6 cm ... #Abscess #pulmonary
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 ... cryptococcomas, cavitating pneumonia ... keratitis, iritis • CMV
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
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
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Nasal polyps and signs ... in the adjacent lung ... , CCP, ANCA • HIV ... mycobacteria Treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
acute respiratory symptoms ... yeast • At risk: AIDS ... change in the lungs ... fever • Septic shock ... nails, bronchi, lungs
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