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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Lung Abscess - Clinical ... seen • Chest CT ... Lung Abscess
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Acute bacterial ... infections • Acute ... in AM > PM) • Disseminated ... Brucellosis • Liver or lung ... abscess • Sub-acute
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... hematogenous spread of a disease ... rarely typical pneumonia ... diagnosis #pulmonary #CXR ... #clinical #CT
Based on the images alone, it is usually not possible to determine the cause of the
with cough and fever ... nodular interstitial lung ... disease, that is ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
effusions in both lungs ... Biopsy of the lung ... formation of multiple abscesses ... #NEJM #clinical ... #radiology #CT #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... , Pancreas, Gastric ... Culture (+): Acute ... night sweats, fever ... Persistent bacteremia/fevers
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... , Pancreas, Gastric ... Culture Positive: • Acute ... night sweats, fever ... Persistent bacteremia/fevers