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diagnosis pulmonary causes infections hypoxemia management abscess aids bronchiectasis cd4 chest chronic clinical cough ct evaluation hiv hivaids miliary mycobacteria
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
- Differential Diagnosis ... Algorithm Ventilation ... • Interstitial lung ... Abnormalities • Chest ... #Hypoxia #Differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Response Management Algorithm ... asthma • Pleural disease ... atelectasis • Lung ... MG, ALS) • ↓ chest ... #Hypoxia #differential
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Blood cultures • CXR ... ) • CXR upright ... CT Lung Abscess ... Abscess Differential ... Abscess #pulmonary #differential
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... throughout the lungs ... hematogenous spread of a disease ... diagnosis #pulmonary #CXR ... #clinical #CT
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... • Dyspnea, • Chest ... Imaging, high res CT ... NTM #Infections #differential ... #diagnosis #infectiousdiseases
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... in the adjacent lung ... of the affected lung ... CT) • Broncho-arterial ... Bronchiectasis #pulmonary #differential
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
in HIV - Differential ... Diagnosis Framework Disease ... angioinvasive disease ... • CT: Halo sign ... #diagnosis #infectiousdiseases
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 ... chest scan), CBC ... Infectious Diseases
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