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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
: • 3 syndromes ... of a "flu-like syndrome ... factor • May cause ... Infections #HIV #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
104°F) • Lobar pneumonia ... gram-negative pneumonia ... Non-Infectious Causes ... • Hyper-IgD syndrome ... • Mycoplasma pneumonia
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Community Acquired Pneumonia ... - Typhoid fever ... community-acquired pneumonia ... respiratory distress syndrome ... Corticosteroids #Adjuvant #InfectiousDiseases
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Noninfectious Causes ... of Fever CRITICAL ... infarction - Pulmonary ... DIAGNOSES - Drug fever ... #Fever #Noninfectious
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... of Pneumonia on ... healthy pt with fever ... /lung sliding: Pulmonary ... #ultrasound
Microbial Etiology of Acute Pharyngitis - IDSA
Bacterial
 • Group A streptococcus - Pharyngotonsillitis, scarlet fever
 •
Pharyngotonsillitis, scarlet fever ... necrophorum - Lemierre’s syndrome ... Pharyngoconjunctival fever ... - Bronchitis, pneumonia ... #differential #causes
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Onset Fever - Differential ... Infection • Pneumonia ... Neuroleptic malignant syndrome ... disease • Drug fever ... #Fever #Acute
Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
Bronchograms in Pneumonia ... on Lung Ultrasound ... , it's never a good ... #clinical #pocus ... #Pulmonary
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
initiation of smoking; Fever ... brown sputum, fever ... Hypereosinophilic Syndrome ... Travel hx, food hx; Fever ... Lung #Diseases #pulmonary
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... procalcitonin) - Pulmonary ... #Pneumonia #Venn