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Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... : • 80% have fever ... decubitus - air fluid level ... Intervention: - Fevers ... #Abscess #pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... with cough and fever ... with low oxygen level ... nodular interstitial lung ... Consolidation #Causes
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Faget's Sign & Liebermeister's Rule Pulse-Temperature Dissociation EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM INFECTIOUS
Psittacosis • Q Fever ... • Typhoid Fever ... • Drug Fever ... Typhoid Fever (S ... Dengue Fever NOTE
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #bradycardia #Causes
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... Non-Infectious Causes ... or lung abscess
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Fever in Returning ... Symptoms: • Fever ... , Dengue fever, ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
loss, lethargy, fever ... • Fever, weight ... be normal • Fever ... factor • May cause ... Infections #HIV #AIDS #pulmonary
Differential Diagnosis - Noninfectious Causes of Fever CRITICAL DIAGNOSES: - Acute myocardial infarction - Pulmonary embolism or
Noninfectious Causes ... of Fever CRITICAL ... infarction - Pulmonary ... DIAGNOSES - Drug fever ... Postmyocardiotomy syndrome #Fever
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... to rnonths • Fever ... meropenem) #Lung ... Abscess #Diagnosis #Pulmonary
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