7 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in HIV-AIDS Bacterial ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... HIVAIDS #workup #diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... anti-GBM ab, ANA, C3, C4 ... , anti-CCPCXR ... high resolution chest ... CT • Bronchoscopy
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
be present on a chest ... computed tomographic (CT ... Hg with PEEP or CPAP ... Definition #Criteria #Diagnosis ... #CriticalCare
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... Pneumonia: • Chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... #treatment #Pulmonary
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
and M. fortuitum can ... Complex (MAC): • Acquired ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Imaging, high res CT
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... trauma are diagnosed ... amount of force is required ... x-ray (CXR), try ... not seen on a CXR