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differential clinical ct infectiousdiseases lung management radiology treatment abscess actinomyces actinomycosis aids bronchiectasis cap causes chest community disseminated evaluation hiv
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... #workup #diagnosis
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Differential Diagnosis ... Opacities: • Infectious ... #differential #diagnosis ... #pulmonary #CXR ... #clinical #CT
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Physical stigmata of cor ... parenchyma Diagnosis ... CT) • Broncho-arterial ... #differential #diagnosis
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Complex (MAC): • Acquired ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Diagnosis Of NTM ... Imaging, high res CT
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... • CT: Halo sign ... #HIV #AIDS #pulmonary ... #differential #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... early disease) • CXR ... CT Lung Abscess ... Lung #Abscess #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Community Acquired ... Pneumonia (CAP) - Diagnosis ... radiograph or CT ... Yield of blood CX ... Management #treatment #Pulmonary
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... patient received a diagnosis ... progressive bacterial infection ... #NEJM #clinical
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