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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
loss, lethargy, fever ... • Fever, weight ... be normal • Fever ... : • (Fever, weight ... Infections #HIV #AIDS #pulmonary
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... , Dengue fever, ... Cough, dyspnea - Pneumonia ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... is interstitial pneumonia ... PCP Mycoplasma pneumonia ... cough and some fever ... #Clinical #Radiology
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 ... Lung #Diseases #pulmonary ... differential #diagnosis #comparison
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
year-old lady with chest ... Never, ever write ... young people with chest ... Electrocardiogram #Cardiology
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... tobacco hx - Fever ... Dyspnea+, Pleuritic Chest ... Consolidations AKA "inverse pulmonary ... #diagnosis #pulmonary
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
chronic eosinophilic pneumonia ... with low-grade fever ... and an abnormal chest ... #Clinical #Radiology ... #CTChest #Eosinophilic
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... Inflammation (e.g., fever ... procalcitonin) - Pulmonary ... #Pneumonia #Venn ... Diagram #Diagnosis #Pulmonolary
Causes of Acute Pediatric Cough - Differential Diagnosis Algorithm
No Fever, No Tachypnea
 - Normal Chest Auscultation
Algorithm No Fever ... Tachypnea - Normal Chest ... Fever, Tachypnea ... • Bacterial pneumonia ... Atypical or viral pneumonia
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... midline at the level ... @PulmPEEPs #Pulmonary ... PHTN #ChestCT #CTChest ... #Radiology #cardiology