9 results
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... : • Chest pain ... Constitutional symptoms ... , pleural effusion
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 ... weight loss or long ... standing symptoms ... #CXR #AirBronchogram
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
a patient with fever ... This POCUS finding ... on CXR/CT imaging ... #pneumonia #clinical ... photo #ultrasound #lung
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... Purpura, Urticaria Chest ... 50%): Pleurisy / effusion ... , Restrictive lung ... erythematosus #signs
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Signs/Symptoms: ... • Pleuritic chest ... Uremia (blood urea ... nitrogen level ... infiltrate by chest
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms ... Chest x-ray: signs ... bilateral pleural effusions ... of CXR congestion
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Coltivirus Symptoms ... • Common clinical ... in an endemic area ... influenzae Symptoms ... Acute meningeal signs
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... e.g. incidental CXR ... dyspnea, cough, chest ... Diagnosis #Management #Signs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... x-ray (CXR), try ... not seen on a CXR