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differential clinical infections lung management renal treatment workup abscess aids bronchiectasis cancer carcinoma cardiology cd4 consolidation evaluation fever fuo hiv
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... , C3, C4, anti-CCP ... • CXR (diffuse ... high resolution chest ... CT • Bronchoscopy
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Most Common Causes ... obstruction • COPD ... Physical stigmata of cor ... CT) • Broncho-arterial ... Laboratory: • ANA, RF, CCP
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
heart failure, COPD ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... HIVAIDS #workup #diagnosis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA • ESR and CRP ... Other tests: • CT ... o infection • Echocardiogram ... Goodpasture's cause ... CT
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... Organizing pneumonia (OP ... #Clinical #Diagnosis ... #Radiology #CXR
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... necrosis (7-14 days later ... Blood cultures • CXR ... CT Lung Abscess ... Lung #Abscess #pulmonary
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... SPEP, ANA, anti-CCP ... • CT chest ... Neuroimaging • Echocardiogram ... Origin #Workup #diagnosis
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Mass on POCUS Echocardiogram ... PLAX) 57yo M with chest ... negative ECG, CXR ... Post-op course initially ... well, then 4mo later
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 Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... • Pleuritic CP ... • CT: Halo sign ... factor • May cause ... Infections #HIV #AIDS #pulmonary
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