| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T84 |
0-57 |
Sentence |
denotes |
Discussion on clinical presentation and diagnosis of IAPA |
| T85 |
58-234 |
Sentence |
denotes |
If a patient is admitted to the ICU and has influenza with pulmonary infiltrates, the diagnosis of IAPA should be considered and further investigation performed as appropriate. |
| T86 |
235-487 |
Sentence |
denotes |
Ideally, this would include in order of invasiveness, serum GM testing, fungal cultures of sputum and/or tracheal aspirate, pulmonary CT, bronchoscopy to visualize the large airways and obtain BAL fluid for GM testing and fungal and bacterial cultures. |
| T87 |
488-631 |
Sentence |
denotes |
Testing is most appropriate in patients who are on mechanical ventilation, but the diagnostic strategy is less clear in patients not intubated. |
| T88 |
632-796 |
Sentence |
denotes |
As up to 50% of patients may present with tracheobronchitis, the presence of plaques and ulceration might be considered for inclusion in the definition of IPA [35]. |
| T89 |
797-950 |
Sentence |
denotes |
Policies for taking biopsies of lesions seen on bronchoscopy may vary, mainly because of concerns about the risk of bleeding with biopsy in ICU patients. |
| T90 |
951-1024 |
Sentence |
denotes |
The use of a flexible brush may also be sufficient to make the diagnosis. |
| T91 |
1025-1147 |
Sentence |
denotes |
Although a positive serum GM is highly indicative of IA, BAL GM can be positive in patients with Aspergillus colonization. |
| T92 |
1148-1236 |
Sentence |
denotes |
It therefore does not absolutely discriminate between colonization and invasive disease. |
| T93 |
1237-1319 |
Sentence |
denotes |
However, it clearly makes it more likely that an invasive disease is present [36]. |
