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tuberculosis latenttb management active airfluidlevel bronchiectasis cavitary cavity clinical cocci coccidioides coccidioidomycosis criteria differential induration interpretation latent microbiology ppd radiology
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Active TB: • ... and Culture • CXR ... : Active TB: • ... disease • Check CXR ... #Treatment #ActiveTB
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Active TB: • ... and Culture • CXR ... : Active TB: • ... disease • Check CXR ... #Treatment #ActiveTB
Tuberculosis Testing LATENT TB • LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
Testing LATENT TB ... • LTBI is diagnosed ... used to exclude pulmonary ... #Workup #TB #Latent ... #ActiveTB #InfectiousDiseases
Cavitary Lesion with Air-Fluid Level on Chest XRay 70+ year old man with PMH of latent TB
PMH of latent TB ... s/p treatment and ... Labeled CXR: ... #ChestXRay #Clinical ... #Pulmonary #Radiology
Tuberculin Skin Test Interpretation - Threshold for treatment Induration cutoff >5mm: • Recent exposure to an individual
Tuberculin Skin Test ... Threshold for treatment ... individual with active ... CXR consistent ... #diagnosis #Interpretation
Coccidiomycosis - Diagnosis Diagnosis: • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%) •
Diagnosis: • Mildly ... normal (95%) • CXR ... trend response to treatment ... immunodiffusion test ... #workup #infectiousdiseases
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Infection: TB ... Physical stigmata of cor ... parenchyma Diagnosis ... mycobacteria Treatment ... #differential #diagnosis
Sporotrichosis - Sporothrix schenckii - Diagnosis and Management Summary Sources: • Landscaping, Christmas tree farming, Rose
• Pulmonary Sporotrichosis ... - Symptoms, CXR ... CSF similar to TB ... #infectiousdiseases ... #treatment #management
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