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management differential infections infectiousdiseases amiodarone bilateral blines bronchiectasis clinical cop cryptogenic fungal immune induced inflammatory iris mycoses organizing pocus reconstitution
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework ... • CT: Halo sign ... Constitutional symptoms ... #AIDS #pulmonary ... #differential #diagnosis
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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 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
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
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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