15 results
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
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... infiltrate (e.g., CXR, CT ... Inflammation (e.g., fever ... pain) and signs ... #Pneumonia #Venn
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Signs/Symptoms: ... Uremia (blood urea ... radiograph or CT ... aeruginosa Clinical ... in adults with clinically
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... a patient with fever ... on CXR/CT imaging ... eabramsMD #Shred #sign ... #pneumonia #clinical
Head Cheese Sign on Chest CT
 • Juxtaposition of distinct radiographic areas of low, normal and
Head Cheese Sign ... on Chest CT • ... distinct radiographic areas ... #Head #Cheese #Sign ... diagnosis #radiology #clinical
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
for Klebsiella pneumonia ... Lung Abscess - Clinical ... : • 80% have fever ... CT Lung Abscess ... Intervention: - Fevers
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... be present or signs ... clostridium, klebsiella pneumoniae ... , specifically CT
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... • Persistent fever ... Internet Book of Critical ... Endocarditis #checklist #criticalcare
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Diagnosis and Clinical ... especially in areas ... sun (e.g., palm creases ... is suspected: chest ... Hypercortisolism #Diagnosis #signs
Broncholithiasis - Differential Diagnosis Framework

 • Also known as: Lung stones, pulmoliths, pneumoliths, bronchial calculi
 •
Broncholithiasis - Clinical ... patients), • Chest ... • Wheezing • Fever ... • Recurrent pneumonia ... CT • Bronchoscopy