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differential clinical pulmonary management radiology causes bronchiectasis hematology lung treatment workup abscess actinomyces actinomycosis algorithm autoimmune carcinoma cd4 cell cellulitis
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 #diagnosis
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
- Differential Diagnosis ... sweats, chills (infection ... disease or CHF) ... ) • Abnormal CXR ... refer + order 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 ... workup #treatment #rheumatology
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... hematogenous spread of a disease ... Differential Diagnosis ... #pulmonary #CXR ... #clinical #CT
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
late adulthood • Diagnosis ... • Chronic lung ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... conditions Diagnosis
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 - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... Immunodeficiency 3) Infection ... Obstruction 6) Rheumatologic ... /Autoimmune diseae ... Bronchiectasis #pulmonary #diagnosis
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
Hodgkin's Lymphoma Overview Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
History of EBV infection ... Mediastinal mass) • CT ... lymph node biopsy (diagnostic ... number of sites of disease ... physical exam, CT
Thumbprinting in Ischemic Colitis- Contrast-enhanced computed tomography of the abdomen, performed to evaluate the possibility of
complicated diverticular disease ... other types of infectious ... consistent with a diagnosis ... clinical #radiology #CT ... thumbprinting #sign #NEJM
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