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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... Lung abscess ... Lung Abscess - Clinical ... Blood cultures • CXR
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... , hemoptysis Treatment ... meropenem) #Lung ... #CXR #ChestXRay
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... History of cancer, lung ... Diagnosis #Algorithm #causes
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... In daily clinical ... the apex and the lung ... #CXR #CHF #Cephalization
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchial obstruction caused ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
bubble and the lung ... diaphragm and the lung ... bubble to the lung ... #Clinical #Radiology ... #CXR #CHF #Pleural
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... status NTM Cause ... to NTM: Chronic lung ... with: Cavitary lung ... - Cough and lung
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR ... , Lung US, Echo, ... diagnosed COPD Assess ... of AECOPD: • Clinical ... #Exacerbation #treatment
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... without other cause ... : Age>60, CKD, CHF ... fluid balance, and CXR ... diagnosis #comparison #table
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
• Lymphoma • Lung ... Septic emboli • Lung ... abscess Primary ... • Progressive lung ... • Upper lobe lung