32 results
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... to rnonths • Fever ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... : • 80% have fever ... Abscess Diagnosis ... decubitus - air fluid level ... #Abscess #pulmonary
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
the air-fluid level ... is a possible diagnosis ... LAM is a rare lung ... #Clinical #Radiology ... #CXR #Pneumothorax
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... (Temp high in AM ... Brucellosis Faget's Sign ... or lung abscess ... #Differential #Diagnosis
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
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
4 - Fibrosis Pulmonary ... chylothorax, and pulmonary ... gland sweling, fever ... #Sarcoidosis #Diagnosis ... Stages #Staging #Signs
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... Activate cath lab ... RV, McConnell's sign ... A4c #clinical #cardiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... Inflammation (e.g., fever ... pain) and signs ... #Pulmonolary
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... POCUS lung exam ... sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose