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diagnosis pulmonary differential evaluation alveolar alveolaredema cd4 clinical dependent diseases edema fungal gravity infectiousdiseases management mycoses perioperative preop preoperative radiologyassistant
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV/AIDS ... Pulmonary edema; ARDS ... tuberculosis Infectious ... ID_fellows #HIVAIDS ... #radiology
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... spp, Atypical infection ... /- High res CT chest ... #HIVAIDS #workup
Notice that even within each lobe there is a gravity dependent difference in density. This is only
transudate like in CHF ... exsudate due to infection ... capillary leak like in ARDS ... #Clinical #Radiology ... #CTChest #CHF #
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Disseminated Infections ... aches, joint pain, chest ... yeast • At risk: AIDS ... MC: CNS CSF: • ... India ink prep CSF
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... disease b) CHF ... ACEi/ARBs - Hold ... one post op Cardiology ... change CV risk Chest
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