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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... #CXR #Comparison ... #Clinical #Lung ... #Pulmonary #Clinical
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... an ill-defined area ... In the proper clinical ... #Clinical #Radiology ... #CXR #AirBronchogram
Causes of Acute Pediatric Cough - Differential Diagnosis Algorithm
No Fever, No Tachypnea
 - Normal Chest Auscultation
Algorithm No Fever ... Tachypnea - Normal Chest ... Fever, Tachypnea ... • Bacterial pneumonia ... Atypical or viral pneumonia
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... consolidation due to a pneumonia ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... #Pneumonia #PJP
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... on Chest X-Ray Anterior ... hemidiaphragm and the liver ... #Chest #XRay #CXR ... #clinical #radiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... Inflammation (e.g., fever ... pain) and signs ... #Pneumonia #Venn
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... aka Pawnbroker's Sign ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
Hemothorax on Lung POCUS ... with Spine Sign ... GSW to left chest ... large sub-pleural area ... #Spine #Sign #clinical