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diagnosis differential management pulmonary tuberculosis activetb latenttb abscess bronchiectasis causes cd4 criteria disease evaluation hivaids igg4 induration infectiousdiseases interpretation mycobacteria
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
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 ... Tuberculosis Treatment ... 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 ... Tuberculosis Treatment ... Initiating Treatment ... • Check CXR and
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 ... westermani • Other: TB
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... +/- High res CT ... Fungal, AFB), TB ... Diseases Fellows ... #HIVAIDS #workup
Tuberculin Skin Test Interpretation - Threshold for treatment Induration cutoff >5mm: • Recent exposure to an individual
Threshold for treatment ... • Abnormal CXR ... consistent with old TB ... disease • HIV ... carcinoma of head/neck/lung
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... Lymphadenitis • Catheter related ... Lungs: • 90% ... Kansasii: • Mimics TB ... Imaging, high res CT
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
: TB, NTM, PNA ... 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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