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differential management infections infectiousdiseases pulmonary hematology hepatology cardiology endocarditis hepatopulmonary product reactions rheumatology abg abscess acid acidbase algorithm antibiotic autoimmune
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... anemia • Sputum/Blood ... seen • Chest CT ... #differential #causes
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
• CT: Halo sign ... Chest pain, cough, bloody ... Lymphadenopathy, CNS ... factor • May cause ... #AIDS #pulmonary
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
of invasive GAS disease ... GAS in 30% of cases ... body site (i.e., blood ... kidneys, liver, lung ... /ARDS, coagulopathy
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... Antimicrobial treatment ... enhancement on CT ... Demyelinating disease ... caused by the JC
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... : • Syndrome of ... Advanced HIV (CD4 ... Lung Disease: ... Imaging, high res CT
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 ... DDX - Other causes ... , HIV) • Glucocorticoid
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
in the adjacent lung ... high-resolution chest CT ... abnormal in adults • Blood ... , CCP, ANCA • HIV ... mycobacteria Treatment
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... NMS, serotonin syndrome ... Tissue penetration (CNS ... (daptomycin in lungs ... thrombophlebitis), HAP, Blood
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Infections in HIV-AIDS ... failure, COPD, Lung ... CXR +/- High res CT ... scan), CBC/diff, Blood ... Infectious Diseases
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... sparing of the lung ... seen on chest CT ... reveals increasing blood ... #management #treatment
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