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diagnosis pulmonary management infectiousdiseases causes clinical radiology hivaids rheumatology workup abscess algorithm arteritis autoimmune bariatric bronchiectasis broncholithiasis bypass cardiology cd4
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
sweats, chills (infection ... Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... ) • CXR upright ... CT Lung Abscess ... Abscess Differential
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in HIV-AIDS Bacterial ... failure, COPD, Lung ... +/- High res CT ... chest scan), CBC ... Diseases Fellows
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
in HIV/AIDS Patients ... Actinomyces spp., NHL; Lung ... tuberculosis Infectious ... #differential # ... diagnosis #chestCT
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... #rheumatology
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
Lungs: • 90% ... Hematologic malignancy ... • Dyspnea, • Chest ... Imaging, high res CT ... #differential #
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... disease • ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... hypogammaglobulinemia #immunology #hematology
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... The differential ... collapse the involved lung ... PCC #Radiology #CXR ... #Oleothorax #NEJM
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... Diagnosis Framework Disease ... • CT: Halo sign ... #AIDS #pulmonary
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