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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
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 #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... pulmonary symptoms • Rheumatologic ... Itraconazole is the agent ... infection • Cough, fever ... • Isolated fever
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... or HSCT - CRS: fever ... ICANS: altered level ... therapy - Symptoms: fever
Antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis
Fluconazole
 - Benefits: Low cost/tolerable
Antifungal agents ... effects in the treatment ... hypokalemia, phlebitis, fever ... chills, dyspnea, chest ... #Antifungal #agents
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
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis.
Fluconazole - Low
of antifungal agents ... effects in the treatment ... hallucinations, rashes/long-term ... hypokalemia, phlebitis, fever ... chills, dyspnea, chest
Hodgkin's Lymphoma Overview

Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
• Dyspnea • Fever ... express many of the genes ... Serum Copper • Chest ... Hodgkin Lymphoma Treatment ... classification #hematology
Erythema Nodosum Overview

Definition: 
 • EN is an inflammatory condition characterized by tender, red nodules, typically
• Infectious Agents ... - Mycoplasma pneumoniae ... symptoms such as fever ... skin test • Chest ... Symptomatic Treatment