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differential radiology management ct hematology lung treatment abscess actinomyces actinomycosis bal biopsy bronchiectasis bronchoalveolar broncholithiasis bronchoscopy cap causes cd4 checklist
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
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Differential Diagnosis ... Opacities: • Infectious ... #differential #diagnosis ... #pulmonary #CXR ... #clinical #CT
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... allopurinol), Infection ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
late adulthood • Diagnosis ... to 8 years Clinical ... Chest CT: • Ground-glass ... severe community-acquired ... conditions Diagnosis
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
Broncholithiasis - Differential Diagnosis Framework • Also known as: Lung stones, pulmoliths, pneumoliths, bronchial calculi •
control of the infection ... Broncholithiasis - Clinical ... CT • Bronchoscopy ... Endobronchial Infection ... #pulmonary
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... Lung Abscess - Clinical ... Blood cultures • CXR ... CT Lung Abscess ... Lung #Abscess #pulmonary
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Complex (MAC): • Acquired ... Disease: Clinical ... • Dyspnea, • Chest ... Lung Disease: • Clinical ... Imaging, high res CT
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
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... endocarditis w/ septic pulmonary ... for metastatic infection ... #criticalcare #diagnosis
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