22 results
Hydropneumothorax on Lung POCUS

HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
POCUS HIV/AID ... (CD4<250) with cough ... Has pleural effusion ... hydropneumothorax #effusion ... #bubbles #POCUS
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
) Fungal: • CD4 ... Penicillium marneffei Parasitic ... : • CD4 < 200 ... failure, COPD, Lung ... Infections #HIVAIDS #workup
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #POCUS #ultrasound
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... (JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... STAT Labs (BMP, CBC
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Diagnosis: • CBC ... Clindamycin in case ... Coccidioides • Parasite ... #differential #causes
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Toxoplasmosis (CD4 ... lesions • 80% with lung ... CNS Lymphoma (CD4 ... • Nocardia • Parasitic ... differential #diagnosis #causes
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Unknown • 6-7 cases ... Rare: pleural effusions ... other processes Workup ... to order: • CBC ... strep, HIV • CTD workup
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Count: Any CD4 ... Legionella: • Nausea ... factor • May cause ... pneumonia, pleural effusion ... possible in HIV PARASITIC
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
Upper Lobe Lung ... ventilation to perfusion ... Therefore, conditions caused ... pulmonary apices caused ... Silicosis - Coal worker
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... , traction for long ... of poor organ perfusion ... Ameliorate increased work ... oxygenation; remove work