34 results
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... rarely typical pneumonia ... Miliary #Pattern #Chest ... #CXR #clinical ... #CT
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... Inflammation (e.g., fever ... production, pleuritic chest
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... identified, Strep pneumoniae ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Hypersensitivity Pneumonia ... HiRes #HighRes #Chest ... #CT #Patterns # ... #radiology
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
sweats, chills (infection ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... Diagnosis #Algorithm #causes
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
with Air-Fluid Level ... on Chest XRay ... and pleuritic chest ... Labeled CXR: ... #Radiology #AirFluidLevel
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... disease: Pleuritic chest ... seen • Chest ... CT Lung Abscess ... treatment until the chest
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... with low oxygen level ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... allopurinol), Infection ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy