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Larva in the BAL

60 M originally from SE Asia hx squamous cell lung CA undergoing chemo presents w/nausea, vomiting & confusion. CXR+Pulmonary infiltrates. BAL show larva w/ 1:1 esophagus:intestine ratio. What is your

Treatment of Drug Resistant HIV

28/M, comes to clinic for a new dx of HIV on routine testing a few months ago. Prior HIV tests were neg. He recently moved to the US from the

Lung Cavity with Gait Instability

40 M presents with diffuse nodular skin lesions x 3+yrs, hemoptysis 1 yr ago: lung cavity & now w/ gait abnormality and blurred vision. What is your likely diagnosis and

Lung Biopsy Smudge Cell

50 M smoker presents w/ cough, fever, progressive dyspnea. R sided infiltrate & pleural effusion. Gram stain, AFB/fungal stains negative. No malignant cells. Lung biopsy smudge cell. Dx? Go to

Donor-Derived Fever

Unexplained fever in 4 recipients of solid organs from a common donor (trauma/subdural hematoma). 1 Kidney recipient post op day 5 develops mild diarrhea, post op day 23 develops fever,

Swollen Eyes After Bird Exposure

50 M w/ unilateral swollen eyelid & red eye. No improvement w/ azithro, tobra drops, FQ or acyclovir. Slit lamp exam primary follicles in fornix w/ conjunctival hyperemia. Sx stared

Lacrimal Gland Swelling, Pain, and Redness

30 M presents w/ 2days of eyelid swelling, pain, redness, diplopia, discharge & restriction of eye movements. CT lacrimal gland swelling. dx. Click to the next page to see the

Frothy Eosinophilic Honeycomb

30 M living with HIV, unstable housing, not on ART CD4 9, VL 600k presents w/ fever, progressive dyspnea, non productive cough, hypoxia. Histology frothy eosinophilic honeycomb material filling alveolar

Spinal Cord Swelling

45 M from Peru w/ weakness & burning sensation of b/l legs x months, progressed to ataxia, constipation, spasticity, brisk tendon reflexes of lower limbs +Babinski. MRI marked cord swelling

Plate Rounds Quiz

70 F with recent cholecystecomy complicated by pneumonia, enterococcal bacteremia, prolong hospital stay, broad spectrum abx, TPN/CVC now w/ bacteremia gm+ coccobacillus catalase- oxidase- diagnosis? #medEd #idmedEd These plates are