Ravi Singh K @rav7ks
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Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... • Progressive lung ... Tuberculosis Treatment ... Initiating Treatment ... Diagnosis #Management #Treatment
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... • Progressive lung ... Tuberculosis Treatment ... Initiating Treatment ... Diagnosis #Management #Treatment
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Illnesses: • Pulmonary ... Classification grp IV): Pulmonary ... complicate MAC pulmonary ... infiltrates NTM Pulmonary ... differential #diagnosis #infectiousdiseases
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
host): • Chronic pulmonary ... : • Pulmonary ( ... change in the lungs ... nails, bronchi, lungs ... ) #Mycoses #InfectiousDiseases
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
: • Recurrent infection ... in the adjacent lung ... • Pulmonary artery ... of the affected lung ... mycobacteria Treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... hemorrhage • Treatment ... continue antibiotic treatment ... several months of treatment ... #Abscess #pulmonary
Soil Related Infections - Differential Diagnosis Framework

Mechanism Of Infection:
 • Wound
 • GI: Ingestion, MUD, Contaminated
Soil Related Infections ... Mechanism Of Infection ... cause primary pulmonary ... Coccidioides • Pulmonary ... differential #diagnosis #InfectiousDiseases
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
developing active infection ... • Tuberculosis infection ... • Recent viral infections ... used to exclude pulmonary ... LatentTB #ActiveTB #InfectiousDiseases
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
associated with infection ... Cerumen impaction Infectious ... (90%), Fungal infections ... subdural hematoma, lung ... Otalgia #Ear #Pain #Otology
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... cough, myalgia • Lung ... #Infections #HIV ... #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases