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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... Legionella: • Nausea ... factor • May cause ... reported in 100% of cases ... Infections #HIV #AIDS #pulmonary
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... radiopaedia.org/cases ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... indicates unknown cause ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... Extensive pneumonia ... 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 ... weight loss or long ... include the list of causes ... caused by Streptcoccus ... #Clinical #Radiology
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... Organizing Pneumonia ... COVID19 #Patterns #Lung ... #Pulmonary #ChestCT ... #radiology #CTChest
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Lung POCUS Young ... POCUS lung exam ... sliding: Pulmonary ... Lung POCUS shows ... Lung POCUS invaluable
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... ventilation (V) in the lungs ... : Pneumonia, asthma ... bypassing the lungs ... shunting (eg, pulmonary
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... - Tamponade Pulmonary ... Causes of Chest ... Alveoli: - CHF - Pneumonia ... #Cardiology
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... Malformation • Severe Pneumonia ... Abnormalities • Chest ... Diagnosis #Algorithm #Causes