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diagnosis differential pulmonary clinical treatment causes infectiousdiseases radiology bronchiectasis hematology rheumatology workup abscess achalasia actinomyces actinomycosis aids algorithm broncholith broncholithiasis
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 ... disease #Chronic
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
Autoimmunity • Chronic ... lung disease ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... Malignancies • Chronic
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
and Management ... polymicrobial infection ... pneumonia • Chronic ... CT Lung Abscess ... Management: •
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 7) Recurrent
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Immunocompromised status • Chronic ... lung disease ... encounters due to NTM: Chronic ... lung infections ... Imaging, high res CT
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 ... #diagnosis #management
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... hematogenous spread of a disease ... Opacities: • Infectious ... Nocardia, zoonotic infections ... CXR #clinical #CT
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Connective tissue diseases ... pulmonale, 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
Pulmonary Nodule Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
diameter are called lung ... associated with lung ... comorbidities, such as chronic ... coronary artery disease ... Management options
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