35 results
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... seen • Chest CT ... Abscess Differential ... causes #management
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
sweats, chills (infection ... Dyspnea (underlying lung ... refer + order CT ... History of cancer, lung ... Diagnosis #Algorithm #causes
Rapidly Growing Mycobacterial Infections

 • Mycobacterium abscessus - Is the most pathogenic and the most likely
Mycobacterium abscessus ... most likely to cause ... with underlying lung ... It can also cause ... Mycobacterium #diagnosis #differential
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Manifestations: • Infection ... (most common: lung ... (most common: lung ... , Aneurysm • Pancreas ... #Diagnosis #causes
Liver Mass - Differential Diagnosis Algorithm
Cystic:
 • Benign 
     - Simple: Simple
Polycystic Liver Disease ... Benign - Infectious ... : Abscess ... secondary - Breast, Lung ... Diagnosis #Algorithm #Causes
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... - M. abscessus ... chelonae • M abscessus ... Imaging, high res CT ... #differential #
Bronchiectasis - Permanent dilation of an airway
WHAT CAN YOU SEE ON CT?
1) Lack of tapering of
CAN YOU SEE ON CT ... involving both lungs ... Immunodeficiency 3) Infection ... Rheumatologic/Autoimmune diseae ... pulmonary #diagnosis #differential
Hemoptysis - Differential Diagnosis Framework
Airways: 
 • Bronchitis
 • Bronchiectasis
 • Malignancy: Primary bronchogenic CA, Endobronchial
Parenchyma: • Infection ... westermani, PNA, Lung ... abscess, Aspergillosis ... syndrome • Valvular Disease ... Diagnosis #pulmonary #causes
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... and M panel Management ... DDX - Other causes
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
lesions • 80% with lung ... multiple lesions Infectious ... Syphilis • Pyogenic Abscess ... Lesions #Brain #differential ... #diagnosis #causes