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differential management pulmonary infections activetb causes hematology infectiousdiseases latenttb tb tuberculosis abscess aids algorithm bronchiectasis carcinoma classification clinical common cough
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Dyspnea (underlying lung ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung ... disease #Chronic
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Infections in HIV-AIDS ... failure, COPD, Lung ... +/- High res CT ... Infectious Diseases ... #diagnosis #evaluation
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... pneumonia • Chronic ... Blood cultures • CXR ... ) • CXR upright ... CT Lung Abscess
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... biliary, renal, lung ... concentration PET-CT ... increased IgG4+ cells ... #phenotypes #workup
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework ... Disease by CD4 ... angioinvasive disease ... • CT: Halo sign ... Abdominal pain, chronic
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
lung disease ... Advanced HIV (CD4 ... cell counts less ... Lung Disease: ... Imaging, high res CT
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to impaired B-cell ... lung disease ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... Epstein-Barr syndrome, HIV
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
macrophages and T cells ... • Silicosis • Chronic ... Langerhans giant cells ... and Culture • CXR ... • Check CXR and
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
macrophages and T cells ... • Silicosis • Chronic ... Langerhans giant cells ... and Culture • CXR ... • Check CXR and
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
in the adjacent lung ... of the affected lung ... CT) • Broncho-arterial ... , CCP, ANCA • HIV ... mycobacteria Treatment
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