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differential infections management clinical infectiousdiseases acquired cap causes community crypto cryptococcal evaluation fungal hivaids lung meningitis miliary mri mycobacteria mycoses
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... Cryptococcal Ag, Urine ... HIVAIDS #workup #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... disease: Pleuritic chest ... level seen • Chest ... CT Lung Abscess ... until the chest
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
• Pleuritic chest ... infiltrate by chest ... radiograph or CT ... Blood cultures - Urine ... #Pulmonary #Community
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
massiliense in CF ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Diagnosis Of NTM ... Imaging, high res CT
Cryptococcal meningitis on T2 MRI 30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
of prior silent pulmonary ... immunocompromised CD4 ... Standard treatment ... of K+ & Mg in urine ... #clinical #radiology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
aches, joint pain, chest ... MC: CNS CSF: • ... India ink prep CSF ... • Sinusitis • Brain ... abscess • Disseminated
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