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diagnosis pulmonary causes clinical infectiousdiseases management radiology abscess aids algorithm bronchiectasis chest chronic cough ct evaluation hiv hivaids miliary mycobacteria
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,
sweats, chills (infection ... Dyspnea (underlying lung ... 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 ... thyroid, melanoma, renal ... Miliary #Pattern #Chest ... #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 ... The differential ... collapse the involved lung ... PCC #Radiology #CXR ... #Oleothorax #NEJM
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Lungs: • 90% ... 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
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... in the adjacent lung ... high-resolution chest ... CT) • Broncho-arterial ... mycobacteria Treatment
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