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Radiographic appearances of pulmonary disease in HIV-infected patients

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious
appearances of pulmonary ... disease in HIV-infected ... ID #Infectious Diseases ... #Infections #Differential ... AIDS #Pneumonia #Pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... acute cardiac disease ... • Normal or negative ... pg/ml EKG: • Negative ... #edema #NCPE #differential
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
• Autoimmune disease ... HACEK • Culture-negative ... epidermidis • Gram-negative ... Enterococcus • Gram-negative ... Noninfective #Causes #Differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Presentation (Pulmonary ... symptomatology Differential ... polyangiitis) - ANCA-negative ... Renal #Syndrome #differential
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... due to lung disease ... pulmonary disease ... , Gaucher disease ... Classification #Diagnosis #Differential
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... fraction < 20% Differential ... hepatitis • Pulmonary ... #diagnosis #management
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
appearances of pulmonary ... Drug toxicity, Pulmonary ... , Pulmonary alveolar ... ID_fellows #HIVAIDS #pulmonary ... #diseases #differential
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Radiographic Features of Pulmonary ... Diseases - Pneumonia ... Emphysema - Pulmonary ... #Diseases #Radiology ... XRay #ChestCT #Differential
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... Pulmonary vasculature ... Diseases of the ... Patients with liver disease ... HPS #hepatology #pulmonary
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Mismatch • Airway Disease ... • Parenchymal Disease ... • Pulmonary Arterial ... Hypoxemia #Hypoxia #Differential