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 ... Opacities: • Infectious ... diagnosis #pulmonary #CXR ... #clinical #CT
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 ... in HIV - Differential ... • CT: Halo sign ... #Infections #HIV ... AIDS #pulmonary #differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... early disease) • CXR ... CT Lung Abscess ... Abscess Differential
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
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 #
Tracheobronchomegaly - A preoperative chest radiograph was reassessed, and postoperative computed tomography confirmed tracheobronchomegaly (Panel A,
A preoperative chest ... with recurrent infection ... Clinical #Radiology #CXR ... #CT #Tracheobronchomegaly ... #NEJM
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... in the adjacent lung ... of the affected lung ... CT) • Broncho-arterial ... Bronchiectasis #pulmonary #differential