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radiology differential clinical management actinomyces actinomycosis bronchiectasis causes chest contusion criticalcare ctchest disseminated emergencies emergencymedicine fungal hamptonhump hemeonc infectiousdiseases miliary
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Abscess Diagnosis ... seen • Chest CT ... #Abscess #pulmonary
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... Differential Diagnosis ... Opacities: • Infectious ... #pulmonary #CXR ... #clinical #CT
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Nasal polyps and signs ... in the adjacent lung ... of the affected lung ... parenchyma Diagnosis ... high-resolution chest CT
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... periphery of the lung ... may aid in the diagnosis ... confirmed with chest CT ... #Cardiology #HamptonHump
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
revealed multiple pulmonary ... patient received a diagnosis ... progressive bacterial infection ... formation of multiple abscesses ... #CT #disseminated
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
symptoms • Rheumatologic ... muscle aches, joint ... Sinusitis • Brain abscess ... change in the lungs ... nails, bronchi, lungs
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
if SSTI or port infection ... suspected) - CT ... chest; CT abdomen ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... of breath and point ... not seen on a CXR ... #Lung #Pulmonary
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