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differential management pulmonary treatment workup abscess autoimmune causes cd4 chest clinical common ct cvid disease evaluation hematology hivaids hypogammaglobulinemia immunodeficiency
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
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... for Klebsiella pneumonia ... Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... Chest CT: • Ground-glass ... community-acquired infections: Pneumonia ... : • Low serum IgG ... trough levels of IgG
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
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 ... Infectious Diseases ... HIVAIDS #workup #diagnosis
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
RP-ILD), dermato-rheumatologic ... , pancreas, stomach ... of aspiration pneumonia ... , pancreas, stomach ... of aspiration pneumonia
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