Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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IDSA Recommendations for Preventing and Treating Chagas Disease (American Trypanosomiasis) in HIV-AIDS
Preventing Clinical Disease
Indication:  Individuals
Clinical Disease ... Note: Treatment ... clinical manifestation ... opportunistic #infections ... #HIVAIDS #pharmacology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... hematogenous spread of a disease ... Opacities: • Infectious ... #diagnosis #pulmonary ... #CXR #clinical
Tree-in-bud almost always indicates the presence of:
Endobronchial spread of infection (TB, MAC, any bacterial bronchopneumonia)
Airway disease
associated with infection ... often, an airway disease ... primarily with mucus retention ... #Diagnosis #Radiology ... #Pulmonary #CTChest
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Differential #Comparison #Table
IDSA Recommendations for Treating Coccidiodomycosis in HIV-AIDS
Treating Mild Infections (Such As Focal Pneumonia or asymptomatic patients
(Diffuse Pulmonary ... Extrathoracic Disseminated Disease ... • Use until clinical ... #Treatment #management ... #HIVAIDS #pharmacology
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
left multiple diseases ... Cardiogenic pulmonary ... #Clinical #Radiology ... #Pulmonary #CTChest ... Differential #Comparison #Table
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 •
Severe Disseminated Disease ... weeks or until clinically ... with ARV (see Table ... #Treatment #management ... #HIVAIDS #pharmacology
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Clarkson’s Disease ... Relapsing-remitting course +++ Clinical ... filling +++ (risk of pulmonary ... flares: • Prevention ... of infections)
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Valvular heart disease ... cardiomyopathy • Pulmonary ... during Delivery • Stable ... months before 1° prevention ... #treatment
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
based on clinical ... please refer to Table ... #Treatment #management ... opportunistic #infections ... #HIVAIDS #pharmacology