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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Lung Abscess - Clinical ... Blood cultures • CXR ... early disease) • CXR
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... • Chronic lung ... Most common - gastric ... and M panel Management ... #management
Left-Middle-Lobe Pneumonia - Radiography of the chest revealed a cardiac apex, aortic arch, and gastric bubble
aortic arch, and gastric ... pneumonia was diagnosed ... #Clinical #Radiology ... #CXR #Kartagener ... SitusInversus #NEJM
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Contents seen on Lung ... Patient had CXR ... Hyperechoic bright spots ... Diagnosis made at ... #clinical
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
antibiotic use, infections ... restored to esophagus Clinical ... pain Diagnosis: ... the most common long ... #management #gastroenterology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... Change in clinical ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... diagnosis; the ... orient in line on long ... course based on chest ... confirm in the short
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Abdominal, pelvic, gastric ... Inhalation of spores ... change in the lungs ... #Management #Infections
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary