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differential management treatment activetb latenttb radiology tb tuberculosis actinomyces actinomycosis bronchiectasis causes cd4 checklist chest criticalcare disseminated emergencies endocarditis evaluation
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... M.tuberculosis, NTM ... Evaluation: Imaging (CXR ... +/- High res CT ... #workup #diagnosis
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Differential Diagnosis ... Opacities: • Infectious ... Tuberculosis, NTB ... #pulmonary #CXR ... #clinical #CT
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Classification grp IV ... : Clinical Manifestations ... Diagnosis Of NTM ... Lung Disease: • Clinical ... Imaging, high res CT
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Lung Abscess - Clinical ... CT Lung Abscess ... #pulmonary #differential
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
: TB, NTM, PNA ... Physical stigmata of cor ... parenchyma Diagnosis ... CT) • Broncho-arterial ... #differential #diagnosis
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
(NTM) • Fungal ... emboli • Lung abscess ... characteristic features Clinical ... and Culture • CXR ... disease • Check CXR
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... endocarditis w/ septic pulmonary ... for metastatic infection ... #criticalcare #diagnosis
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
(NTM) • Fungal ... emboli • Lung abscess ... characteristic features Clinical ... and Culture • CXR ... disease • Check CXR
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
if SSTI or port infection ... suspected) - CT ... chest; CT abdomen ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
revealed multiple pulmonary ... patient received a diagnosis ... progressive bacterial infection ... #NEJM #clinical ... #radiology #CT #
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