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diagnosis pulmonary infections treatment causes infectiousdiseases workup abscess aids aspergillus betadglucan biomarkers bronchiectasis cardiology cd4 disease endocarditis evaluation galactomannan hiv
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
and Management ... anemia • Sputum/Blood ... seen • Chest CT ... Prevotella • Fungal ... Abscess Differential
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... biliary, renal, lung ... concentration PET-CT ... #diagnosis #management ... workup #treatment #rheumatology
Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
CAN YOU SEE ON CT ... Bacterial, TB, NTM, Fungal ... Obstruction 6) Rheumatologic ... /Autoimmune diseae ... pulmonary #diagnosis #differential
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... CXR +/- High res CT ... scan), CBC/diff, Blood ... Infectious Diseases ... diagnosis #evaluation #differential
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
in HIV - Differential ... Diagnosis Framework Disease ... Pseudomonas FUNGAL ... • CT: Halo sign ... Chest pain, cough, bloody
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
albumin, or other blood ... BAL GM does not differentiate ... colonization vs invasive disease ... Clav (may be + as long ... Galactomannan #diagnosis #comparison
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... sparing of the lung ... seen on chest CT ... reveals increasing blood ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... , Pancreas, Gastric ... Microbiology: Blood ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
pulmonary symptoms • Rheumatologic ... • Major blood ... change in the lungs ... nails, bronchi, lungs ... #Diagnosis #Management
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