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differential pulmonary clinical management causes lung nejm treatment abscess actinomyces actinomycosis bronchiectasis carcinoma cd4 cell chronic classification cough disseminated evaluation
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Algorithm Red ... sweats, chills (infection ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... +/- High res CT ... chest scan), CBC ... Diseases Fellows ... #HIVAIDS #workup
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... throughout the lungs ... hematogenous spread of a disease ... #CXR #clinical ... #CT
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Blood cultures • CXR ... ) • CXR upright ... CT Lung Abscess
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... in the adjacent lung ... of the affected lung ... high-resolution chest ... CT) • Broncho-arterial
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: • CT ... confirm DAH, r/o infection ... sparing of the lung ... CT
Hodgkin's Lymphoma Overview Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
History of EBV infection ... Hodgkin Lymphoma Workup ... Serum Copper • Chest ... number of sites of disease ... physical exam, CT
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
A chest radiograph ... biopsy confirmed a diagnosis ... indicated stage IV disease ... #NEJM #clinical ... #radiology #CT #
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... patient received a diagnosis ... progressive bacterial infection ... #NEJM #clinical ... #radiology #CT #
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