29 results
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
loss, lethargy, fever ... • Fever, weight ... Cytopenias VIRAL ... , chronic diarrhea ... Infections #HIV #AIDS #pulmonary
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
, acute HIV infection ... Cough, dyspnea - Pneumonia ... melioidosis, typhoid, pulmonary ... , Lassa fever, acute ... • Abdominal pain
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
common diagnoses Acute ... tobacco hx - Fever ... Pleuritic Chest Pain ... mechanical ventilation Chronic ... #diagnosis #pulmonary
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Non-Resolving Pneumonias ... yersinia/rats, Q fever ... Eosinophilic PNA (acute ... or chronic) ... #NonResolving #Pneumonia
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Lung Diseases • Acute ... initiation of smoking; Fever ... brown sputum, fever ... Travel hx, food hx; Fever ... Lung #Diseases #pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... Differential Diagnosis Pulmonary ... Pleural effusion, Pneumonia ... Pleural effusion, Pulmonary ... poisoning, DKA, Fever
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 ... pleuritic chest pain ... #Pneumonia #Venn
CGD and Mulch Pneumonitis
This acute fulminant invasive fungal pneumonia in absence of iatrogenic or exogenous immunosuppression
Pneumonitis This acute ... invasive fungal pneumonia ... dyspnea, hypoxia, fever ... and evidence of pulmonary ... #Pneumonitis #chronic
Based on the images alone, it is usually not possible to determine the cause of the
considered, like acute ... or chronic illness ... Lobar pneumonia ... with cough and fever ... with low oxygen level
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 ... #ultrasound