11 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 ... diagnosis #evaluation #differential
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - Differential ... sweats, chills (infection ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... throughout the lungs ... Miliary #Pattern #Chest ... diagnosis #pulmonary #CXR ... #clinical #CT
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... disease: Pleuritic chest ... level seen • Chest ... CT Lung Abscess ... until the chest
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
allopurinol), Infection ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... • Pleuritic chest ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... Pneumonia: • Chest
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... area of the left lung ... The differential ... PCC #Radiology #CXR ... #Oleothorax #NEJM
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... high-resolution chest ... CT) • Broncho-arterial ... mycobacteria Treatment ... Bronchiectasis #pulmonary #differential
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
infections • ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Imaging, high res CT ... #differential #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
chest to evaluate ... confirm DAH, r/o infection ... sparing of the lung ... typically seen on chest ... diagnosis #management #treatment