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
Recent infection • Pulmonary ... • HIV: 2/3 pulmonary ... 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
Recent infection • Pulmonary ... • HIV: 2/3 pulmonary ... Tuberculosis Treatment ... Initiating Treatment ... Diagnosis #Management #Treatment
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
stigmata of cor pulmonale ... • Pulmonary artery ... Acid fast) • Pulmonary ... mycobacteria Treatment ... Bronchiectasis #pulmonary
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
hemorrhage • Treatment ... continue antibiotic treatment ... several months of treatment ... Lung #Abscess #pulmonary ... causes #management #treatment
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... Incomplete/relief/treatment ... Nonpharmacologic Treatment ... of bed GERD Treatment
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
six months of treatment ... Lymphadenitis, pulmonary ... lymphadenitis, pulmonary ... , hypoxia, and pulmonary ... by delaying ART treatment
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
starting amiodarone treatment ... solitary and multiple pulmonary ... pneumonia - Pulmonary ... macrophages Treatment ... Lung #Toxicity #Pulmonary
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
eosinophilia pneumonia, Pulmonary ... Organizing Pneumonia Treatment ... Pneumonia #COP #BOOP #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
procalcitonin level Treatment ... Diagnosis #Management #treatment ... #Pulmonary #Community
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
host): • Chronic pulmonary ... Histoplasmosis Treatment ... Rhinocerebral 2) Pulmonary ... Mucormycosis Treatment ... Cryptococcosis Treatment