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diagnosis cardiology differential management endocarditis infections cns contusion criticalcare ctchest emergencymedicine fungal hamptonhump hiv mycoses neurology opportunistic pe photo pulmonaryembolism
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Blood cultures • CXR ... seen • Chest CT ... #Abscess #pulmonary
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... hump along may aid ... In this case, pulmonary ... confirmed with chest CT ... #photo #CXR #EmergencyMedicine
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Septic Emboli Cause
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... hematuria, + RF Treatment ... #infectiousdiseases
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
Antimicrobial treatment ... tuberculomas, or abscesses ... enhancement on CT ... and <25% culture positive ... opportunistic #InfectiousDiseases
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
yeast • At risk: AIDS ... Inhalation of spores ... Sinusitis • Brain abscess ... infection have positive ... ) #Mycoses #InfectiousDiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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