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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... Lymphadenopathy, Chest ... : • Chest pain ... Infections #HIV #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases
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
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... Extensive pneumonia ... POCUS: Dynamic air ... Clinical #Lung #Pulmonary
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Lung Findings on Chest ... Organizing Pneumonia ... Patterns #Lung #Pulmonary ... #ChestCT #radiology ... #CTChest #diagnosis
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
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... between these chest ... Lobar pneumonia ... Organizing pneumonia ... Clinical #Diagnosis #Radiology
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 ... /lung sliding: Pulmonary ... had Mycoplasma pneumonia ... BLines #Bilateral #Pneumonia
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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... and interstitial pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Interstitial #Pneumonia