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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 ... Infections #HIV #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... #Pneumonia #PJP
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Radiographic Features of Pulmonary ... Diseases - Pneumonia ... Emphysema - Pulmonary ... #Diseases #Radiology ... Patterns #Lung #CXR
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
cough, dyspnea, fever ... - Imaging: • CXR ... , Pulmonary lymphoma ... Treatment: • ... #COP #BOOP #pulmonary
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Community Acquired Pneumonia ... - Typhoid fever ... community-acquired pneumonia ... Corticosteroids #Adjuvant #InfectiousDiseases ... Pharmacology #Management #Treatment
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
streptococcus pneumoniae ... respond to the treatment ... are organizing pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
diagnosis is lobar pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... Lobar pneumonia ... Pulmonary hemorrhage ... with low oxygen level ... #CXR #Lobar #Consolidation
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... infiltrate (e.g., CXR ... Inflammation (e.g., fever ... procalcitonin) - Pulmonary ... #Pneumonia #Venn
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
to rnonths • Fever ... , hemoptysis Treatment ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR