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management differential pulmonary activetb causes infectiousdiseases latenttb tb tuberculosis aecopd bronchiectasis chestxray chronic copd evaluation exacerbation fungal mycobacteria mycoses nontuberculous
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
(infection) • ... Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... History of cancer, lung
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... rnonths • Fever, cough ... meropenem) #Lung ... #Abscess #Diagnosis ... #CXR #ChestXRay
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Lung abscess ... Lung Abscess - Clinical ... Abscess Diagnosis
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... to NTM: Chronic lung ... with: Cavitary lung ... - Cough and lung ... Lung Disease:
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
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
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR ... , Lung US, Echo, ... COPD Assess ... of AECOPD: • Clinical ... #Exacerbation #treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
symptoms • Fever, cough ... has five major clinical ... • Cough, fever ... Sinusitis • Brain abscess ... change in the lungs
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Symptoms: • Chronic cough ... Fevers and/or chills ... in the adjacent lung ... of the affected lung ... mycobacteria Treatment
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... unless prior heart/lung
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