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diagnosis differential clinical pulmonary cxr management cardiology ctchest infectiousdiseases nejm ultrasound bronchiectasis chest chestct endocarditis hivaids pneumonia pulmonaryembolism treatment abscess
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
sweats, chills (infection ... Dyspnea (underlying lung ... refer + order CT ... History of cancer, lung ... Diagnosis #Algorithm #causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... disease, interstitial ... diffuse infections ... Lung POCUS shows ... Lung POCUS invaluable
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 Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
in HIV/AIDS Patients ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... tuberculosis Infectious ... diagnosis #chestCT #radiology
Mucoid impaction Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass. Sometimes
appearance of lung ... structures in the right lung ... CT demonstrated ... #Clinical #Radiology ... Mucus #Plugging #RadiologyAssistant
Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... segment or lobe of lung ... involving both lungs ... Immunodeficiency 3) Infection ... Rheumatologic/Autoimmune diseae
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 ... • Most common cause ... • Periodontal disease ... seen • Chest CT ... #differential #causes
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 •
Pattern - Chest Radiology ... throughout the lungs ... hematogenous spread of a disease ... Opacities: • Infectious ... CXR #clinical #CT
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... status NTM Cause ... Lungs: • 90% ... infections • ... Imaging, high res CT
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