12 results
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
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - Differential ... disease or CHF) ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
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, lymph node ... concentration PET-CT
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
 •
throughout the lungs ... hematogenous spread of a disease ... thyroid, melanoma, renal ... diagnosis #pulmonary #CXR ... #clinical #CT
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... chest to evaluate ... sparing of the lung ... CT ... diagnosis #management #treatment
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 ... AIDS #pulmonary #differential
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... The differential ... her history of treatment ... PCC #Radiology #CXR ... #Oleothorax #NEJM
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
infections Lungs ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Imaging, high res CT ... NTM #Infections #differential