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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
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 #Lobar #Consolidation
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 ... sepsis), PE, DAH, CHF ... #oncology
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 #
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... interventional radiology ... or HSCT - CRS: fever ... therapy - Symptoms: fever
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
Hodgkin's Lymphoma Overview

Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
• Dyspnea • Fever ... Serum Copper • Chest ... Hodgkin Lymphoma Treatment ... classification #hematology ... #oncology #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Assess functional ... disease b) CHF ... change CV risk Chest ... unless prior heart/lung