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diagnosis differential pulmonary management clinical radiology lung nejm treatment gastroenterology workup algorithm bronchiectasis infections infectiousdiseases pancreatitis rheumatology abdominal abg abscess
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Chronic Cough - ... disease or CHF) ... refer + order CT ... disease #Chronic ... Diagnosis #Algorithm #causes
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Evaluation of Chronic ... Causes of acute ... Systemic disease ... imaging with barium, CT ... 1000 g/24 h) #Chronic
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... 50mOsm/kg, Consider CT ... Abdominal imaging (CT ... testing for celiac disease ... #Diarrhea #Workup
Calcific Pancreatitis Associated with Alcohol Use - A computed tomographic scan of the abdomen showed extensive
calcification of the pancreas ... consistent with chronic ... Clinical #Radiology #CT ... Pancreatitis #Calcific #Chronic ... #NEJM
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... IgG4 #Related #Disease
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
Autoimmunity • Chronic ... lung disease ... • Infectious diarrhea ... Chest CT: • Ground-glass ... DDX - Other causes
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... pneumonia • Chronic ... • Periodontal disease ... seen • Chest CT ... #differential #causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... Long-standing vs ... • Vomiting, diarrhea ... Consider cardiac causes ... genitourinary causes
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 ... WHAT ARE COMMON CAUSES ... Rheumatologic/Autoimmune diseae
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation causes ... Connective tissue diseases ... in the adjacent lung ... of the affected lung ... high-resolution chest CT
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