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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
disease: Pleuritic chest ... level seen • Chest ... CT Lung Abscess ... until the chest ... #Abscess #pulmonary
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
- Chest Radiology ... throughout the lungs ... #Chest #Radiology ... #CXR #clinical ... #CT
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... Calcification (seen in CT ... typical eggshell pattern ... #CXR #Chest #XRay ... #labeled #pulmonary
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... for pulmonary tuberculosis ... Clinical #PCC #Radiology ... #CXR #Oleothorax ... #NEJM
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
duration is 6 to 12 ... aches, joint pain, chest ... Sinusitis • Brain abscess ... change in the lungs ... nails, bronchi, lungs
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... formation of multiple abscesses ... #NEJM #clinical ... #radiology #CT #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... treat - Calcium > 12 ... renal failure, pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
x-ray (CXR), try ... radiograph pattern ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary