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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Abscess Diagnosis ... decubitus - air fluid level ... CT Lung Abscess
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Katayama Fever - Physical examination and diagnostic testing revealed multiple small papules on the trunk (Panel
examination and diagnostic ... mildly elevated liver-function ... #Clinical #Radiology ... InfectiousDisease #CXR ... KatayamaFever #Rash #NEJM
A 50 yo F with a history of poor dentition presents to the ED with fever
to the ED with fever ... A CXR is done. ... consistent w/ lung ... abscess #Clinical ... #Radiology #CXR
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest #
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign on Chest ... hemidiaphragm and the liver ... thus important to diagnose ... #XRay #CXR #clinical ... #radiology
Amebic Liver Abscess- ...Computed tomography of the abdomen performed after the administration of contrast material revealed
Amebic Liver Abscess ... lesion in the liver ... #NEJM #amebic #liver ... #abscess #clinical ... #radiology #CT
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... TTE +/- TEE) • Chest ... CT scan, if suspect ... • Persistent fever ... #criticalcare #diagnosis
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
thus important to diagnose ... colon) between the liver ... Chilaiditi #Sign #clinical ... #radiology #cxr ... #xray #chest
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
the air-fluid level ... attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax