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Opportunistic Infections in HIV/AIDS: Syndromic Approach

WuidQ: Washington University ID Questions @WuidQ

#Opportunistic #Infections #OIs #HIVAIDS #Differential #Diagnosis
Infections in HIV ... Washington University ID ... Infections #OIs #HIVAIDS ... #Differential # ... Diagnosis #Systems
Syndromic Approach to Opportunistic Infections in HIV/AIDS: 

WuidQ: Washington University ID Questions @WuidQ

#Opportunistic #Infections #OIs #HIVAIDS
Infections in HIV ... Washington University ID ... Infections #OIs #HIVAIDS ... #Differential # ... Diagnosis #Systems
Important causes of diarrhea in people with HIV/AIDS
Severity, chronicity/persistence will depend On CD4 count & sites
in people with HIV ... Washington University ID ... #Diarrhea #HIVAIDS ... #Differential # ... Diagnosis #Causes
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Infections in HIV-AIDS ... lymphoid interstitial pneumonitis ... Pulmonary #Infections #HIVAIDS ... #workup #diagnosis ... #evaluation #differential
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential ... Diagnosis Framework ... Less common since cART ... AIDS #pulmonary #differential ... #diagnosis #infectiousdiseases
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Pneumonitis. ... Subacute stage: - RB-ILD ... fibrotic changes are ... #Radiology #CTChest
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... histiocytosis: > 90% are ... Lymphoid interstitial pneumonitis ... patients with HIV ... Clinical #Radiology #CTChest
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
of diarrhea in HIV ... Washington University ID ... causes #diarrhea #HIVAIDS ... #Differential # ... Diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... Phos), CBC with differential ... HFNC or BiPAP if mild-moderate ... Pyridostigmine - New diagnosis ... high-dose magnesium, IV
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
in this patient are ... there is a broad differential ... diagnosis and additional ... hypersensitivity pneumonitis ... Clinical #Radiology #CTChest