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differential management pulmonary infectiousdiseases rheumatology tuberculosis aids dermatology hematology hiv latenttb lung syndrome tb workup abscess bronchiectasis broncholithiasis causes 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
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... Framework Disease ... angioinvasive disease ... • CT: Halo sign
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Lung Abscess - Clinical ... ) • CXR upright ... seen • Chest CT
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
characteristic features Clinical ... Tuberculosis Diagnosis ... and Culture • CXR ... • Check CXR and ... Tuberculosis #TB #Diagnosis
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... hematogenous spread of a disease ... rarely typical pneumonia ... #pulmonary #CXR ... #clinical #CT
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
characteristic features Clinical ... Tuberculosis Diagnosis ... and Culture • CXR ... • Check CXR and ... Tuberculosis #TB #Diagnosis
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... Clinical history ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... • Chronic lung ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... : Pneumonia • Autoimmune
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
- Differential Diagnosis ... should be based on clinical ... Antimicrobial treatment ... enhancement on CT ... Demyelinating disease
Tuberculin Skin Test Interpretation - Threshold for treatment Induration cutoff >5mm: • Recent exposure to an individual
Threshold for treatment ... individual with active ... TB • Abnormal CXR ... carcinoma of head/neck/lung ... SkinTest #TST #diagnosis
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