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diagnosis differential management radiology clinical lung bronchiectasis cardiology chest ct cxr endocarditis hivaids ntm pocus treatment ultrasound abscess actinomyces actinomycosis
Rapidly Growing Mycobacterial Infections • Mycobacterium abscessus - Is the most pathogenic and the most likely
pulmonary infection ... with underlying lung ... disease. 15% mortality ... It can also cause ... #differential #infectiousdiseases
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
sweats, chills (infection ... disease or CHF) ... lymadenopathy, clubbing, chest ... refer + order CT ... Diagnosis #Algorithm #causes
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... Illnesses: • Pulmonary ... • Dyspnea, • Chest ... Imaging, high res CT ... differential #diagnosis #infectiousdiseases
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
appearances of pulmonary ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... tuberculosis Infectious ... #diagnosis #chestCT
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... , in advanced disease ... in the adjacent lung ... of the affected lung ... CT) • Broncho-arterial
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... CXR +/- High res CT ... chest scan), CBC ... Diseases Fellows
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... • Most common cause ... : Pleuritic chest ... CT Lung Abscess ... #Abscess #pulmonary
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... disease • ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... DDX - Other causes
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... throughout the lungs ... hematogenous spread of a disease ... differential #diagnosis #pulmonary ... CXR #clinical #CT
Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... involving both lungs ... Immunodeficiency 3) Infection ... Rheumatologic/Autoimmune diseae ... Bronchiectasis #pulmonary
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