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differential evaluation hivaids amiodarone bilateral blines cardiology cd4 chestct clinical diseases endocarditis fungal immune induced infectiousdiseases inflammatory iris mycoses perioperative
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV/AIDS ... Actinomyces spp., NHL; Lung ... tuberculosis Infectious ... #differential #diagnosis ... #chestCT #radiology
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... failure, COPD, Lung ... Kaposi's Sarcoma ... #workup #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 ... diffuse infections ... NOT definitively diagnose
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 Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
treatment of HIV/AIDS ... be present: • AIDS ... Lymphadenitis, pulmonary ... • Kaposi sarcoma ... #Management
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... organizing pneumonia, ARDS ... failure - Infectious ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... verrucous) • Lung ... Cerebral > Splenic, pulmonary ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Skin exam for infection ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Histoplasmosis Diagnosis ... yeast • At risk: AIDS ... change in the lungs ... nails, bronchi, lungs ... #Management #Infections
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