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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Blood cultures • CXR ... early disease) • CXR ... hemorrhage • Treatment ... continue antibiotic treatment ... several months of treatment
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... meropenem) #Lung ... Pulmonary #Clinical #CXR
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
terms to describe areas ... lucencies within the lung ... we describe a chest ... density in the lung ... visible wall #CXR
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... History of cancer, lung
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
(JVP, edema), Lung ... POCUS (B-lines, lung ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram ... diagnosis #Management #treatment
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... X-Ray Patchy areas ... Consolidation #Pattern #Chest ... #XRay #CXR #clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... densities iin the left lung ... cavitation in the right lung ... Clinical #Radiology #CXR ... #CTChest #Septic
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
skin (esp. over areas ... Pericarditis) -> Chest ... friction rub audible Lungs ... pleural effusion on CXR ... cause interstitial lung
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... patients to maintain long-term ... volume overload Urea ... into ammonium by urease-producing ... hyponatremia #nephrology #treatment
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... On a Chest X-Ray ... is interstitial lung ... On a CXR the most ... detected on a chest