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management differential pulmonary aids amiodarone anisocoria antibiotic boop clinical cop cryptogenic failure hiv horners hyperkalemia ild immune induced infections infectiousdiseases
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... , serotonin syndrome ... , prostate, ocular ... (daptomycin in lungs ... • Secondary to Treatment
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Anti-basement membrane ... mononeuritis multiplex WORKUP ... recent DAN) • EMG/NCS ... sparing of the lung ... #management #treatment
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... the apex of the lung ... experience, the cause ... or induced by treatment ... #clinical #video
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 Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... GAS in 30% of cases ... kidneys, liver, lung ... , erythematous macular ... #STSS #treatment
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Unknown • 6-7 cases ... other processes Workup ... strep, HIV • CTD workup ... Organizing Pneumonia Treatment ... pulmonary #ILD #diagnosis
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... Pneumonia: • 3 syndromes ... of a "flu-like syndrome ... Lymphadenopathy, CNS ... #differential #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... reabsorption) Workup ... only if no clear cause ... Bicarb<22) - avoid NS ... stabilizes cardiac membrane
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... gland) biopsy • Ocular ... Hypocomplementemia • Can cause ... MALT Lymphoma • Lung ... Adenocarcinoma Treatment
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... respiratory distress syndrome ... • Reticular + Nodular ... Exclude other causes ... macrophages Treatment
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... pleural effusions, CNS ... skin lesions, ocular ... Zoster flare, ocular ... #Inflammatory #Syndrome
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