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diagnosis differential management blood product pulmonary reactions workup aids algorithm causes cd4 chronic cough disease evaluation fungal hiv hivaids igg4
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
sweats, chills (infection ... Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... refer + order CT
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
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in HIV-AIDS Bacterial ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... Diseases Fellows
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Lungs: • 90% ... massiliense in CF ... Hematologic malignancy ... Imaging, high res CT ... differential #diagnosis #infectiousdiseases
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... Diagnosis Framework Disease ... angioinvasive disease ... • CT: Halo sign ... differential #diagnosis #infectiousdiseases
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
• Acute Hemolytic ... Lung Injury (TRALI ... TRALI resembles ARDS ... patients with CHF ... diagnosis #management #hematology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
- Acute Hemolytic ... Lung Injury (TRALI ... TRALI resembles ARDS ... patients with CHF ... diagnosis #management #hematology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
presents with acute ... yeast • At risk: AIDS ... change in the lungs ... nails, bronchi, lungs ... ) #Mycoses #InfectiousDiseases
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