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diagnosis infections bronchiectasis cap community evaluation highres hires hivaids infectiousdiseases management mycobacteria nephrology nontuberculous ntm patterns pneumonia renal resolution syndrome
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... Urine Histo Ag, Respiratory ... diagnosis #evaluation #differential
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Hypersensitivity Pneumonitis, Respiratory ... #CT #Patterns # ... #pulmonary #radiology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... infiltrates) → high ... resolution chest ... CT • Bronchoscopy
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
• Pleuritic chest ... infiltrate by chest ... radiograph or CT ... Nares screening: High ... Management #treatment #Pulmonary
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Physical stigmata of cor ... Diagnosis: • HRCT (high-resolution ... chest CT) • Broncho-arterial ... #differential #
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Complex (MAC): • Acquired ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Symptoms, Imaging, high ... res CT) • Exclusion
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