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management cardiology differential infectiousdiseases actinomyces actinomycosis causes checklist contusion criticalcare ctchest cxr disseminated fungal hepatology hepatopulmonary infections mycoses oleothorax pcc
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Abscess Diagnosis ... seen • Chest CT ... #Abscess #pulmonary
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... • Myocardial abscess ... Persistent fever, positive ... #criticalcare #diagnosis
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 ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... hematuria, + RF Treatment
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... shunt (Type 2) Clinical ... on radioactive lung ... ) on room air Treatment ... #management #treatment
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
area of the left lung ... for pulmonary tuberculosis ... #Clinical #PCC # ... Radiology #CXR # ... Oleothorax #NEJM
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
revealed multiple pulmonary ... patient received a diagnosis ... formation of multiple abscesses ... #NEJM #clinical ... #radiology #CT #
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
has five major clinical ... Inhalation of spores ... Sinusitis • Brain abscess ... arthritis, and endocarditis ... infection have positive
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... This patient’s clinical ... Due to their short ... #Radiology #CTChest ... #Lung #Pulmonary
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