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differential management pulmonary infectiousdiseases hiv infections neurology radiology rheumatology acuteinterstitialpneumonia aip autoimmune brain bronchiectasis clinical complexes ctchest edema endocarditis ild
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... lesions • 80% with lung ... #differential #diagnosis ... #causes #radiology
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
of invasive GAS disease ... GAS in 30% of cases ... kidneys, liver, lung ... /ARDS, coagulopathy ... #STSS #treatment
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
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... Goodpasture's cause ... sparing of the lung ... seen on chest CT ... #management #treatment
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Framework Disease ... • CT: Halo sign ... Lymphadenopathy, CNS ... factor • May cause ... Infections #HIV #AIDS
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Mounier-Kuhn syndrome ... in the adjacent lung ... of the affected lung ... high-resolution chest CT ... mycobacteria Treatment
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... Hypocomplementemia • Can cause ... • 8%-27% for CNS ... MALT Lymphoma • Lung ... Adenocarcinoma Treatment
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... (e.g., long QT ... syndrome, ARVC) ... more intensive treatment ... #differential #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... acute cardiac disease ... respiratory distress syndrome ... Transfusion-related acute lung ... #cardiology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... of HIV/AIDS patients ... worsening of that disease ... be present: • AIDS ... pleural effusions, CNS
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