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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest ... pain) and signs
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 ... Findings on Chest ... Organizing Pneumonia ... #Pulmonary #ChestCT ... #radiology #CTChest
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... AirBronchogram #POCUS #CXR ... #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... .2016.12.033 #Halo #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine Sign ... GSW to left chest ... focusing on lower chest ... #clinical #ultrasound ... #Pulmonary
Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
on Lung Ultrasound ... CXR in video for ... #Lung #Ultrasound ... #clinical #pocus ... #Pulmonary
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... In the proper clinical ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram