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diagnosis differential treatment lung tb tuberculosis activetb chest clinical criticalcare cryptogenic infections latenttb organizing radiology summary abscess acquired acute aids
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
- Imaging: • CXR ... Anti-dsDNA, ANCA COP ... , Pulmonary lymphoma ... #COP #BOOP #pulmonary ... ILD #diagnosis #management
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
infiltrate (e.g., CXR ... , CT, ultrasound ... procalcitonin) - Pulmonary ... chest pain) and signs ... Diagram #Diagnosis #Pulmonolary
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... , COP, Chronic Eos ... Honeycombing: Idiopathic Pulmonary ... Sarcoidosis • Bronchiectasis ... Differential #Diagnosis #pulmonary
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... obstruction • COPD ... Nasal polyps and signs ... Physical stigmata of cor ... high-resolution chest CT
Extrapulmonary manifestations of COVID-19 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke • Renal:
: Acute kidney injury ... vein thrombosis, Pulmonary ... ischemia, Acute cor ... pulmonale • Endocrine ... Extrapulmonary #Diagnosis #Signs
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
, Cryptococcal pneumonia ... • Pleuritic CP ... • CT: Halo sign ... Rhabdomyolysis (rare) Co-MRSA ... Infections #HIV #AIDS #pulmonary
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... heart failure, COPD ... • CD4 < 200: Pulmonary ... Evaluation: Imaging (CXR ... +/- High res CT
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
inflammatory lung injury ... leading to increased pulmonary ... be detected on CT ... or CXR ● PaO2/ ... oxygenation in pneumonia
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
diffuse inhalational injury ... rarely typical pneumonia ... differential #diagnosis #pulmonary ... #CXR #clinical ... #CT
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
and Management ... Pneumonia Signs ... radiograph or CT ... Yield of blood CX ... #Pulmonary #Community
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