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differential lung acute amiodarone comparison diarrhea disease diseases eosinophilia eosinophilic evaluation fungal hemophagocytic hlh ibd induced infectiousdiseases legionnaires lymphohistiocytosis nonresolving
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Travelers from ... Frequent Differential Diagnoses ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... #differential #diagnosis
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
Etiologies Unusual Infections ... psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... NonResolving #Pneumonia #diagnosis
Hemophagocytic Lymphohistiocytosis (HLH) Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
cytokines (TNFa,lL1, IL6 ... Auto-amplification loop Diagnosis ... • Clinical: fever ... toxoplasmosis,...), Mycosis ... #management #treatment
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Respiratory sx in 40%, mild ... , CNS, skin • Infectious ... Fungal, parasites; Travel ... Lung #Diseases #pulmonary ... #differential #diagnosis
Algorithm for the Evaluation of Acute Diarrhea (< 7 days) Are the following present? 1.
Travel to endemic ... HIV infection or ... Bloody diarrhea, fever ... Acute #Diarrhea #management ... #diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Mycoses HISTOPLASMOSIS ... conidia → Yeast → travel ... , fever, chills, ... /possible) #Mycoses ... #Management #Infections
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... ASA class If ... event, follow ACC algorithm ... medical and surgical management ... stratification #diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Fever 4. ... pneumonitis Diagnosis ... failure - Infectious ... Exclusion of other ILDs ... #diagnosis #management
Legionnaires' Disease Clinical features: • Gl- nausea, vomiting, diarrhea • Hyponatremia • Elevated transaminases • CRP >100
Other Legionella Infections ... Pontiac fever ... Extra-pulmonary: ... Legionnaires #Disease #diagnosis ... #management
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
and PR + PO 5-ASA ... Infection (CMV, ... Ulcerative #Proctitis #IBD ... #diagnosis #management ... #algorithm
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