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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... : • 80% have fever ... Blood cultures • CXR ... decubitus - air fluid level
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
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
with low-grade fever ... and an abnormal chest ... respond promptly to treatment ... #Clinical #Radiology ... #CTChest #Eosinophilic
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... with cough and fever ... nodular interstitial lung ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
infections an abscess ... the consolidated lung ... one month after treatment ... #Clinical #Radiology ... #CXR #CTChest #
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Endocarditis on POCUS ... presents with fever ... frequently have lung ... emboli (see CT cor ... Echocardiogram #clinical #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... night sweats, fever ... hematuria, + RF Treatment ... Persistent bacteremia/fevers ... Differential #Diagnosis #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Assess functional ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... pulmonary symptoms • Rheumatologic ... infection • Cough, fever ... Sinusitis • Brain abscess ... • Isolated fever
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary