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diagnosis differential pulmonary management causes infectiousdiseases tuberculosis activetb bronchiectasis clinical latenttb radiology workup abscess aids algorithm cardiology cavitarypneumonia cavity cd4
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
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
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
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 ... Fungal, AFB), TB ... Diseases Fellows
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 ... IgG4 #Related #Disease
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... Lungs: • 90% ... infections • ... Kansasii: • Mimics TB ... Imaging, high res CT
Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... involving both lungs ... Immunodeficiency 3) Infection ... (Bacterial, TB, ... Rheumatologic/Autoimmune diseae
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... hematogenous spread of a disease ... Opacities: • Infectious ... diagnosis #pulmonary #CXR ... #clinical #CT
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