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diagnosis infectiousdiseases neurology treatment aids bronchiectasis cardiology endocarditis hivaids lung rheumatology abg abscess acid acidbase autoimmune base bloodgas broncholithiasis cd4
Clinical Classification of Pulmonary Hypertension 1. Pulmonary arterial hypertension from pulmonary vasculopathy Idiopathic pulmonary arterial hypertension Heritable gene mutations
- HIV infection ... due to lung disease ... lung disease Other ... Classification #Diagnosis #Differential ... #Causes
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... failure, COPD, Lung ... CXR +/- High res CT ... Diseases Fellows
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... seen • Chest CT ... #Abscess #pulmonary ... #differential # ... causes #management
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... tuberculosis Infectious ... #diseases #differential
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... and M panel Management ... DDX - Other causes
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... mucogenicum • HIV ... Advanced HIV (CD4 ... Imaging, high res CT ... #differential #
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Most Common Causes ... high-resolution chest CT ... , CCP, ANCA • HIV ... #differential #
Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... Immunodeficiency 3) Infection ... Rheumatologic/Autoimmune diseae ... Bronchiectasis #pulmonary ... #diagnosis #differential
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... confirm DAH, r/o infection ... Goodpasture's cause ... sparing of the lung ... #diagnosis #management
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
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