12 results
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae ... Exam, CXR, ENT ... exam, CT sinus ... Specificity of 97%) Treatment ... #management
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... rarely typical pneumonia ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
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
Blood cultures • CXR ... early disease) • CXR ... CT Lung Abscess ... Lung #Abscess #pulmonary ... #treatment #diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
(CAP) - Diagnosis ... radiograph or CT ... Blood cultures - Urine ... #Management #treatment ... #Pulmonary #Community
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Anti-GBM antibody • Urine ... : UA, Urine protein ... Other tests: • CT ... CT ... #management #treatment
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 ... #Management #Infections
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... with presence of pulmonary ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
The Disease: • Pulmonary ... pleural fluid, BAL, CSF ... , urine, Skin tissue ... Treatment: ... #management #treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis