83 results
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 ... , pleural effusion
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Cryptogenic Organizing Pneumonia ... of organizing pneumonia ... cough, dyspnea, fever ... Rare: pleural effusions ... ILD #diagnosis #management
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... suspect Eosinophilic Pneumonia ... Non-resolving pneumonia ... tobacco hx - Fever ... Ground Glass +/- Effusions
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Community Acquired Pneumonia ... - Typhoid fever ... community-acquired pneumonia ... Pneumocystis jirovecii pneumonia ... #Pharmacology #Management
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
Pneumocystis jirovecii Pneumonia ... 2—3 weeks • Fever ... jirovecii #PJP #Pneumonia ... #Diagnosis #Management
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
of Pericardial Effusion ... Non-Infectious: • Rheumatologic ... Mediterranean Fever ... #Pericardial #Effusion
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... Pulmonary: pleural effusion ... Disease #diagnosis #management ... #treatment #rheumatology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
disease • Periodic fever ... multiorgan failure • Fever ... - Nonremitting fever ... ALT ↑ bilirubin level ... Syndrome #Diagnosis #Management
Summary of Infections in which Steroids play a role in treatment
 • TB meningitis
 • TB
Severe Pneumocystis pneumonia ... • COVID-19 pneumonia ... Severe typhoid fever ... Indications #infections #management
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
B-Lines in case of Pneumonia ... healthy pt with fever ... had Mycoplasma pneumonia ... BLines #Bilateral #Pneumonia ... POCUS #clinical #ultrasound