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differential pulmonary clinical management treatment causes nejm abscess actinomyces actinomycosis bronchiectasis carcinoma cd4 cell chest chronic cough disease disseminated evaluation
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
sweats, chills (infection ... Dyspnea (underlying lung ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... +/- High res CT ... Diseases Fellows ... #HIVAIDS #workup ... #diagnosis #evaluation
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Pattern - Chest Radiology ... throughout the lungs ... hematogenous spread of a disease ... #pulmonary #CXR ... #clinical #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 ... #phenotypes #workup
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 ... seen • Chest CT
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 ... parenchyma Diagnosis ... high-resolution chest CT
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 ... seen on chest CT
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
Carcinoma of the Lung ... 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
Biopsy of the lung ... patient received a diagnosis ... progressive bacterial infection ... #NEJM #clinical ... #radiology #CT #
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