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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... • Pleuritic chest ... Lymphadenopathy, Chest ... : • Chest pain ... , pleural effusion
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Pulmonary Diseases - Pneumonia ... Pneumothorax - Effusion ... Pulmonary #Diseases #Radiology ... #Patterns #Lung
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 •
Main Lung Ultrasound ... superimposed bacterial pneumonia ... Large pleural effusion ... areas #COVID19 #POCUS ... #Lung #Ultrasound
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... Extensive pneumonia ... POCUS: Dynamic air ... Comparison #Clinical #Lung
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... Organizing Pneumonia ... COVID19 #Patterns #Lung ... Pulmonary #ChestCT #radiology ... #CTChest #diagnosis
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Lung Ultrasound ... for Diagnosing Pneumonia ... the posterior chest ... Peds #EM #PICU #POCUS ... #Lung #Pneumonia
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
- Viral pneumonia ... Aspergillosis PLEURAL EFFUSION ... - Bacterial pneumonia ... Patterns #Pulmonary #Lung ... Differential #Diagnosis #Chest
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... On the chest x-ray ... weight loss or long ... an acute lobar pneumonia ... #Clinical #Radiology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura reflection) Pneumonia ... Possible small plural effusion ... Possible bilateral effusion ... submassive PE) POCUS ... #POCUS #ultrasound
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Algorithm Ventilation/perfusion ... Parenchymal Disease Diffusion ... • Interstitial lung ... Malformation • Severe Pneumonia ... Abnormalities • Chest