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management differential evaluation radiology abscess algorithm atrial causes cd4 clinical contusion copd ecg emergencies exacerbation hemeonc hivaids infections multifocal nejm
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Secondary to chronic lung ... disease (COPD) ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Cardiology #Diagnosis
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
workup for alternate ... ventilated • CXR ... , Lung US, Echo, ... #Exacerbation #treatment ... #pulmonary
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
NTM (M.kansasii, MAC ... heart failure, COPD ... , Lung cancer, Primary ... Infections #HIVAIDS #workup ... #diagnosis #evaluation
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... upright or lat ... #Abscess #pulmonary
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... area of the left lung ... for pulmonary tuberculosis ... #Clinical #PCC # ... Radiology #CXR #
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... recent DAN) • EMG ... not-optimal but may ... sparing of the lung ... #management #treatment
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... rising > 500 → may ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
the first and second ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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