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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... disease: Pleuritic chest ... seen • Chest ... CT Lung Abscess ... treatment until the chest
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Illnesses: • Pulmonary ... patients such as: 1. ... (elevations of liver ... • Dyspnea, • Chest ... Imaging, high res CT
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Origin (FUO) Tier 1 ... cultures • UA • Chest ... ESR, +/- CRP • CT ... chest • Consider ... marrow, Lymph node, Liver
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Assess functional ... murmur 3/6) - Pulmonary ... Skin exam for infection ... change CV risk Chest
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... , and multiple liver ... NEJM #clinical #radiology ... #CT #disseminated
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
clinical forms: 1) ... Mississippi and Ohio River ... aches, joint pain, chest ... normal glucose level ... Sinusitis • Brain abscess
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... /50 Rule (part 1) ... and second ribs.1 ... bleeding often from a liver ... #Radiology #CTChest