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clinical management abscess oncology radiology aecopd algorithm causes cavitary copd differential differentiation emergencies exacerbation hematology hemeonc lungabscess nejm oleothorax oncologic
A 50 yo F with a history of poor dentition presents to the ED with fever
already seen her PCP ... A CXR is done. ... consistent w/ lung ... #CXR #ChestXRay ... #LungAbscess #AirFluidLevel
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome in APML ... Triggers: ATRA treatment ... Prednisone 5mg/kg ... common • Imaging: CXR ... - pulmonary opacities
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
AECOPD) Obtain workup ... ventilated • CXR ... , Lung US, Echo, ... #Exacerbation #treatment ... #pulmonary
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... • Vasculitis (e.g ... #Abscess #pulmonary
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
area of the left lung ... The differential diagnosis ... for pulmonary tuberculosis ... #Clinical #PCC # ... Radiology #CXR #
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
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