13 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... +/- High res CT ... chest scan), CBC ... Diseases Fellows ... diagnosis #evaluation #differential
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Diagnosis Algorithm ... sweats, chills (infection ... disease or CHF) ... ) • Abnormal CXR ... refer + order CT
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
or the anterior chest ... auricular papules Clinical ... severity of the disease ... Decreased CD4 ... anti-NXP2 Abs Lung
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
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
allopurinol), Infection ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Lung Abscess - Clinical ... Blood cultures • CXR ... ) • CXR upright ... CT Lung Abscess
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
• Domestic and wild ... Advanced HIV (CD4 ... Disease: • Clinical ... Imaging, high res CT ... #differential #
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... Diagnosis Framework Disease ... angioinvasive disease ... • CT: Halo sign
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Connective tissue diseases ... in the adjacent lung ... of the affected lung ... CT) • Broncho-arterial ... Bronchiectasis #pulmonary #differential
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... X-ray and lung ... (exclude other lung ... Phos), CBC with differential ... if symptoms of infection