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diagnosis differential causes lung radiology renal treatment abscess aids boop bronchiectasis cd4 chest clinical cop cryptogenic evaluation high highres hires
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... Lymphocytic or lymphoid interstitial ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Lymphangitic Carcinoma, Interstitial ... Hemorrhage, Edema • Consolidation ... Honeycombing: Idiopathic Pulmonary ... #CT #Patterns #
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... between these chest ... Organizing pneumonia (OP ... this is nodular interstitial ... Diagnosis #Radiology #CXR
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
- Imaging: • CXR ... opacities, Unilateral consolidation ... • HRCT: patchy consolidation ... #BOOP #pulmonary ... ILD #diagnosis #management
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
allopurinol), Infection ... , 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
Loss of weight • Chest ... Physical stigmata of cor ... centrilobular nodules, or consolidation ... CT) • Broncho-arterial ... Laboratory: • ANA, RF, CCP
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... confirm DAH, r/o infection ... ground glass or consolidative ... CT ... differential #diagnosis #management
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
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... • CT: Halo sign ... dyspnea • Lobar consolidation ... fever, rales, interstitial ... #HIV #AIDS #pulmonary
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