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diagnosis differential management pulmonary activetb causes latenttb tb abscess bronchiectasis cd4 chest chronic clinical cough criteria ct disease evaluation hivaids
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
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... and Culture • CXR ... Treatment: Active ... Initiating Treatment ... • 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
affecting the lungs ... and Culture • CXR ... Treatment: Active ... Initiating Treatment ... • Check CXR and
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... Diseases Fellows ... #HIVAIDS #workup
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 ... management #phenotypes #workup
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT ... hemorrhage • Treatment
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... hematogenous spread of a disease ... Mycobacterium: Tuberculosis ... diagnosis #pulmonary #CXR ... #clinical #CT
Tuberculin Skin Test Interpretation - Threshold for treatment Induration cutoff >5mm: • Recent exposure to an individual
Threshold for treatment ... TB • Abnormal CXR ... carcinoma of head/neck/lung ... Underweight • Injection ... individuals #Tuberculosis
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
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 ... diagnosis #management #treatment
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