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differential infections infectiousdiseases lung pneumonia acquired aids algorithm amiodarone boop bronchiectasis checkpointinhibitor chest colitis community cop cryptogenic high highres hires
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Lymphocytic or lymphoid interstitial ... : Imaging (CXR ... +/- High res CT ... chest scan), CBC ... HIVAIDS #workup #diagnosis
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Organizing Pneumonia (COP ... - Imaging: • CXR ... workup: ANA, RF, CCP ... #ILD #diagnosis ... #management
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
High-Res Chest CT Patterns - Differential Diagnosis Framework Reticular: • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... - Differential Diagnosis ... Lymphangitic Carcinoma, Interstitial ... Hypersensitivity Pneumonia, COP ... Sarcoidosis, NSIP, COP
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... • Pleuritic CP ... • CT: Halo sign ... fever, rales, interstitial ... Infections #HIV #AIDS #pulmonary
Pulmonary Nodule Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
Evaluation is guided ... yield of available diagnostic ... are 6 mm to 8 mm can ... Management options ... 70% to 90% for a diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Physical stigmata of cor ... parenchyma Diagnosis ... CT) • Broncho-arterial ... Laboratory: • ANA, RF, CCP ... #differential #diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
treatment) • Can ... (e.g., chronic interstitial ... pneumonitis Diagnosis ... Exclusion of other ILDs ... #diagnosis #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
) - Diagnosis and ... Management Pneumonia ... radiograph or CT ... #Diagnosis #Management ... #treatment #Pulmonary
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... murmur 3/6) - Pulmonary ... days before Pulmonary ... medical and surgical management ... stratification #diagnosis
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