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diagnosis differential management pulmonary infections activetb causes infectiousdiseases latenttb workup abscess aids bronchiectasis cd4 chronic criteria disease evaluation hiv hivaids
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
• Productive cough ... and Culture • CXR ... Treatment: Active ... • Check CXR and ... #Management #Treatment
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
• Productive cough ... and Culture • CXR ... Treatment: Active ... • Check CXR and ... #Management #Treatment
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
dyspnea, productive cough ... Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT ... westermani • Other: TB
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework Disease ... Mycobacterium tuberculosis ... angioinvasive disease ... • CT: Halo sign ... infiltrates, mimicking TB
Tuberculin Skin Test Interpretation - Threshold for treatment Induration cutoff >5mm: • Recent exposure to an individual
Threshold for treatment ... • Abnormal CXR ... disease • HIV ... carcinoma of head/neck/lung ... individuals #Tuberculosis
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 ... hypergammaglobulinemia, ↑ acute
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Mycobacterium tuberculosis ... Kansasii: • Mimics TB ... - Cough and lung ... percent), • Cough ... Imaging, high res 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 ... Fungal, AFB), TB ... Infectious Diseases
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Symptoms: • Chronic cough ... • Infection: TB ... in the adjacent lung ... high-resolution chest CT ... mycobacteria Treatment
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