24 results
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
to rnonths • Fever ... , hemoptysis Treatment ... • Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
., CXR, CT, ultrasound ... ., fever/hypothermia ... procalcitonin) - Pulmonary ... symptoms (e.g., ... Diagram #Diagnosis #Pulmonolary
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
explain symptoms • Fever ... : 33% • Treatment ... fluid balance, and CXR ... with pulmonary ... edema) • Fever
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
with Air-Fluid Level ... latent TB s/p treatment ... Labeled CXR: ... ChestXRay #Clinical #Pulmonary ... #Radiology #AirFluidLevel
Based on the images alone, it is usually not possible to determine the cause of the
with cough and fever ... Pulmonary hemorrhage ... with low oxygen level ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... organ damage • Treatment ... unless worrisome EKG ... diagnosis #management #hematology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
: • 80% have fever ... Blood cultures • CXR ... early disease) • CXR ... • Vasculitis (e.g ... Lung #Abscess #pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... edema • BNP level ... <100 pg/ml EKG ... ischemic changes CXR ... differential #diagnosis #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Subacute-Acute: • Common: fever ... common • Imaging: CXR ... - pulmonary opacities ... Renal Failure Treatment