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differential management evaluation infections aecopd bronchiectasis causes copd emergencies exacerbation fungal hemeonc hivaids infectiousdiseases mycoses oncologic oncology perioperative preop preoperative
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... HIVAIDS #workup #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Abscess Diagnosis ... CT Lung Abscess ... #Abscess #pulmonary
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR ... , Lung US, Echo, ... COPD Assess ... #Exacerbation #treatment ... #pulmonary
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... in the adjacent lung ... CT) • Broncho-arterial ... ratio (BAR) - BAR ... mycobacteria Treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
body • Bird and bat ... aches, joint pain, chest ... Sinusitis • Brain abscess ... change in the lungs ... nails, bronchi, lungs
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung ... stratification #diagnosis
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... myeloid leukemias; “big ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
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