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radiology clinical pulmonary differential management tuberculosis activetb brain causes cavity ctchest infections latenttb radiologyassistant abscess actinomyces actinomycosis aids angiogram arteritis
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Tuberculosis Diagnosis ... assay (IGRA) • PPD ... and Culture • CXR ... disease • Check CXR ... #Diagnosis #Management
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Tuberculosis Diagnosis ... assay (IGRA) • PPD ... and Culture • CXR ... disease • Check CXR ... #Diagnosis #Management
Tuberculin Skin Test Interpretation - Threshold for treatment Induration cutoff >5mm: • Recent exposure to an individual
Threshold for treatment ... • Abnormal CXR ... carcinoma of head/neck/lung ... Underweight • Injection ... SkinTest #TST #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Blood cultures • CXR ... seen • Chest CT ... westermani • Other: TB
Septic emboli Septic emboli usually present as multiple ill-defined nodules. In about 50% cavitation is seen. CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... Fungal, AFB), TB ... HIVAIDS #workup #diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
: TB, NTM, PNA ... Nasal polyps and signs ... in the adjacent lung ... high-resolution chest CT ... mycobacteria Treatment
Sand Storm Sign on Chest CT • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
Sand Storm Sign ... on Chest CT • Diffusely ... arrow) • DDx: PAM ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... Differential Diagnosis ... Nocardia, zoonotic infections ... #pulmonary #CXR ... #clinical #CT
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... lesions • 80% with lung ... skin lesions, LAD ... including: M, avium, TB ... #causes #radiology
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