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A 50 yo F with a history of poor dentition presents to the ED with fever
to the ED with fever ... consistent w/ lung ... abscess #Clinical #Radiology ... #CXR #ChestXRay ... #LungAbscess #AirFluidLevel
Based on the images alone, it is usually not possible to determine the cause of the
with cough and fever ... with low oxygen level ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
- Differential Diagnosis ... Red Flags: • Fever ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... #Algorithm #causes
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... and dyspnea • Lobar ... factor • May cause ... infiltrates or lobar ... #differential #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... : • 80% have fever ... Blood cultures • CXR ... early disease) • CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
are smaller and fewer ... supplying the lung ... In these cases comparison ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
important finding on a chest ... The most common causes ... #Diagnosis #Radiology ... #CXR #Lobar #Collapse ... #Patterns #Comparison
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... e.g. incidental CXR ... General: fever, ... syndrome: ACUTE, fever ... presentation with fever
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... Treat underlying cause ... or HSCT - CRS: fever ... therapy - Symptoms: fever
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
x-ray (CXR), try ... not seen on a CXR ... bleeding often from a liver ... #Radiology #CTChest ... #Lung #Pulmonary