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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... • CT: Halo sign ... factor • May cause ... , cough and cavitary ... Infections #HIV #AIDS #pulmonary
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... a preexisting pulmonary ... cavity • DDx: ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Non-Infectious Causes ... Brucellosis Faget's Sign ... or lung abscess ... #Patterns #Differential
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
since in many cases ... we describe a chest ... #CXR #Lucency #Differential ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Pregnancy • Fever ... • Rheumatic Fever ... • Rheumatic Fever ... • Rheumatic Fever ... Diagnosis #Algorithm #causes
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - Differential ... Red Flags: • Fever ... Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... Diagnosis #Algorithm #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... 760 mm Hg at sea level ... : Interstitial lung ... failure • There are gravity-dependent ... Failure #hypoxia #Differential
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
initiation of smoking; Fever ... brown sputum, fever ... Travel hx, food hx; Fever ... #Diseases #pulmonary ... #differential #
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... are smaller and fewer ... supplying the lung ... In these cases comparison ... #Clinical #Radiology