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diagnosis differential pulmonary management infectiousdiseases causes hiv lung workup abscess algorithm bronchiectasis broncholithiasis cd4 cns common cough cvid disease evaluation
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Chronic Cough - ... sweats, chills (infection ... disease or CHF) ... refer + order CT ... disease #Chronic
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 ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... Malignancies • Chronic
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... failure, COPD, Lung ... CXR +/- High res CT ... Diseases Fellows
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... pneumonia • Chronic ... seen • Chest CT ... hemorrhage • Treatment ... several months of treatment
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Connective tissue diseases ... in the adjacent lung ... of the affected lung ... high-resolution chest CT ... mycobacteria Treatment
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
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
85% • < 50% in chronic ... extrapulmonary disease ... yeast • At risk: AIDS ... change in the lungs ... nails, bronchi, lungs
Pulmonary Nodule Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
a repeat chest CT ... The treatment of ... comorbidities, such as chronic ... coronary artery disease ... growth with chest CT
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... Diagnosis Framework Disease ... • CT: Halo sign ... Abdominal pain, chronic ... #AIDS #pulmonary
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