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differential management radiology treatment tuberculosis activetb aids bronchiectasis clinical criticalcare hepatology hiv infectiousdiseases latenttb neurology renal summary syndrome abscess acute
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... +/- High res CT ... Fungal, AFB), TB ... #workup #diagnosis
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Tuberculosis Diagnosis ... Tuberculin skin test ... and Culture • CXR ... disease • Check CXR ... #Diagnosis #Management
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Tuberculosis Diagnosis ... Tuberculin skin test ... and Culture • CXR ... disease • Check CXR ... #Diagnosis #Management
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... : TB, NTM, PNA ... Nasal polyps and signs ... in the adjacent lung ... high-resolution chest CT
Causes of Hemoptysis - Differential Diagnosis Algorithm Massive Hemoptysis (>I00 mL in 24 hours) • Malignancy •
Causes of Hemoptysis ... Algorithm Massive ... Malformation Normal CXR ... Vasculitis Infection ... #Algorithm #Causes
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Algorithm Red ... sweats, chills (infection ... ) • Abnormal CXR ... refer + order CT ... #Algorithm #causes
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
pp65 antigenemia test ... patient with HIV and CD4 ... Retinitis (Most common cause ... Pancreatitis • Pulmonary ... association with PJP/TB
Pott's Disease in Tuberculosis - Diagnosis and Management Summary Epidemiology: - Typically from TB endemic areas -
extrapulmonary cases ... Clinical Signs ... years - May have signs ... tissue damage - CXR ... involvement - CT
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... diffuse inhalational injury ... Differential Diagnosis ... #pulmonary #CXR ... #clinical #CT
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... resolution chest CT ... , biopsy By Tess
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