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pulmonary diagnosis differential management radiology abscess acquired aids amiodarone bronchiectasis cap cardiology causes clinical community contusion criticalcare ctchest emergencymedicine evaluation
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... • Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... : • Chest pain
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... throughout the lungs ... Miliary #Pattern #Chest ... #CXR #clinical ... #CT
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... disease: Pleuritic chest ... level seen • Chest ... CT Lung Abscess ... until the chest
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Loss of weight • Chest ... Nasal polyps and signs ... high-resolution chest ... CT) • Broncho-arterial
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... periphery of the lung ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... chest to evaluate ... confirm DAH, r/o infection ... sparing of the lung ... typically seen on chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Signs/Symptoms: ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... #Pulmonary #Community
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
injury • Indirect ... starting amiodarone treatment ... Pleuritic chest ... failure - Infectious ... reticular opacities on chest
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... x-ray (CXR), try ... not seen on a CXR ... Radiology #CTChest #Lung
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