11 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
heart failure, COPD ... , Lung cancer, Primary ... Evaluation: Imaging (CXR ... /- High res CT chest ... TB PCR sputum, PCP
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
• Labs: CBC, cr ... , ESR, CRP • Urinalysis ... anti-GBM ab, ANA, C3, C4 ... , anti-CCPCXR ... high resolution chest
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic CP ... • Pleuritic chest ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... Pneumonia: • Chest
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
- Lung neoplasms ... diseases like organizing ... pneumonia (OP) ... proteinaceous material ... Radiology #Pulmonary #CXR
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... Organizing pneumonia ... (OP) - multiple ... nodular interstitial lung ... Diagnosis #Radiology #CXR
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Care Ultrasound (POCUS ... with left sided CP ... Heard a "pop." ... CXR and CTA Chest ... #Subluxation #POCUS
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... obstruction • COPD ... Physical stigmata of cor ... high-resolution chest ... Laboratory: • ANA, RF, CCP
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
citrullinated peptide (CCP ... elderly persons - CCP ... titer, ACE level, CXR ... ANAs • RF and CCP ... years with neck, chest
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
PLAX) 57yo M with chest ... negative ECG, CXR ... POCUS done prior ... Post-op course initially ... well, then 4mo later
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Contents seen on Lung ... Patient had CXR ... echogenic mobile material ... gastric contents in chest ... contents within chest