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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Abscess Diagnosis ... Blood cultures • CXR ... Abscess Management
Whenever you see an area of increased density within the lung, it must be the result
Atelectasis - collapse ... the amount of air ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
Notice the air-fluid ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... densities iin the left lung ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... maybe there is an air-bronchogram ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Diffuse consolidation in bronchoalveolar carcinoma
The chest x-ray shows diffuse consolidation with 'white out' of the left
with an air-bronchogram ... Final diagnosis: ... #Clinical #Radiology ... #CXR #Consolidation ... #Bronchogram #RadiologyAssistant
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Cardiovascular collapse ... ensure adequate lung ... Start continuous CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
 - Reassess
decrease PRN - Assess ... - Auscultate lungs ... bronchodilators/order CXR ... #Differential #Diagnosis ... #Management
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
Notice the air-fluid ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary