28 results
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... • CT: Halo sign ... • Fever, weight ... Constitutional symptoms ... #differential #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR, CT ... , ultrasound) - ... Inflammation (e.g., fever ... - Pulmonary symptoms
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
Clinical • ... Caused by Pneumocystis ... CD4 < 200 • Symptoms ... 2—3 weeks • Fever ... #Diagnosis #Management
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... healthy pt with fever ... NOT definitively diagnose ... #Lung #POCUS #clinical ... #ultrasound
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
Intraabdominal Abscess on POCUS ... RUSH exam for fever ... Diagnosis? ... See CT scan. ... #ultrasound #clinical
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... cystitis, may have fever ... infection, such as fever ... , specifically CT
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
a patient with fever ... This POCUS finding ... on CXR/CT imaging ... #clinical #photo ... #ultrasound #lung
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... with cough and fever ... with low oxygen level ... #Clinical #Diagnosis ... #Radiology #CXR
Pneumonia on Point of Care Ultrasound (POCUS)

Haitian woman fever, cough & this clip => PNA &
Pneumonia on Point ... of Care Ultrasound ... woman fever, cough ... hole of “truth” (CT ... #Clinical #Lung
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess - Clinical ... : • 80% have fever ... seen • Chest CT ... #differential #causes