10 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... < 200: PCP, Aspergillus ... failure, COPD, Lung ... Fungal, AFB), TB PCR ... sputum, PCP DFA
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Toxoplasmosis (CD4 ... toxo IgG • CNS PCR ... lesions • 80% with lung ... CNS Lymphoma (CD4 ... Lesions #Brain #differential
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... • Lymphoma • Lung ... • Progressive lung ... staining, NAA (PCR ... TB #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
affecting the lungs ... • Lymphoma • Lung ... • Progressive lung ... staining, NAA (PCR ... TB #Diagnosis #Management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Clindamycin in case of PCN ... Abscess Differential ... #Abscess #pulmonary ... #differential #
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Imaging: CXR- pulmonary ... initiation • Differential ... Diagnosis: Infection ... organ dysfuxtion, ICU ... fluid overload, PCC
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
leukoencephalopathy (PML ... Leishmaniasis Differential ... • Persistently active ... Inflammatory #Syndrome #Differential ... #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... one post op Cardiology ... Recent PCI/stenting ... since elective PCI ... unless prior heart/lung
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... fibromyalgia) • Infections ... Antiribosomal P, APLA, PAC ... La, anti-Jo-1, SCL ... and leukemia • Lung
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Other +s: PCP, Histo ... surfaces, Albumin, Infections ... in BAL does not differentiate ... concurrent admin mold-active ... result in + as long