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diagnosis management cardiology differential infections endocarditis fungal hiv aspergillus cell cns contusion criticalcare ctchest cxr emergencies emergencymedicine hamptonhump hemeonc histiocytosis
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... hump along may aid ... the diagnosis of pulmonary ... In this case, pulmonary ... confirmed with chest CT
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
infections are caused ... , Advanced HIV/AIDS ... presentations: • Pulmonary ... AspGM can be also positive ... #fungal #infectiousdiseases
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
• CT: Halo sign ... factor • May cause ... Infections #HIV #AIDS ... #pulmonary #differential ... #diagnosis #infectiousdiseases
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
yeast • At risk: AIDS ... Inhalation of spores ... change in the lungs ... infection have positive ... ) #Mycoses #InfectiousDiseases
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
Infection in HIV / AIDS ... Antimicrobial treatment ... enhancement on CT ... and <25% culture positive ... opportunistic #InfectiousDiseases
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... hematuria, + RF Treatment ... #infectiousdiseases
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... Treat underlying cause ... interventional radiology ... renal failure, pulmonary
Langerhans Cell Histiocytosis (LCH) Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
comprising langerin-positive ... • Pulmonary Symptoms ... Imaging: X-rays, CT ... PET-CT / MRI: Staging ... TREATMENT OPTIONS
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Due to their short ... Most commonly caused ... #Radiology #CTChest ... #Lung #Pulmonary
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