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diagnosis management cardiology clinical differential endocarditis infectiousdiseases radiologyassistant algorithm alveolar alveolaredema cell cephalization contusion ctchest edema emergencies emergencymedicine foamed fungal
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
Stage I - Redistribution In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... In this case, pulmonary ... confirmed with chest CT ... #photo #CXR #EmergencyMedicine ... #CriticalCare #
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 ... Treat underlying cause
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... hematuria, + RF Treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Inhalation of spores ... Sinusitis • Brain abscess ... change in the lungs ... nails, bronchi, lungs ... infection have positive
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... with presence of pulmonary ... the determined cause ... #heartfailure #chf ... #criticalcare #
Stage III - Alveolar edema This stage is characterized by continued fluid leakage into the interstitium, which
Obstructive lung ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Langerhans Cell Histiocytosis (LCH) Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
comprising langerin-positive ... • Pulmonary Symptoms ... Imaging: X-rays, CT ... PET-CT / MRI: Staging ... TREATMENT OPTIONS
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... Treat underlying cause ... interventional radiology ... renal failure, pulmonary
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