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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... Lung abscess ... Blood cultures • CXR ... #Abscess #pulmonary
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
since in many cases ... we describe a chest ... visible wall #CXR ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
infections an abscess ... the consolidated lung ... one month after treatment ... #Clinical #Radiology ... #CXR #CTChest #
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 ... #photo #CXR #EmergencyMedicine ... #CriticalCare #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... neuroexam - Oral cavity ... event, follow ACC algorithm ... one post op Cardiology ... unless prior heart/lung
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... Treat underlying cause ... 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 ... not seen on a CXR ... Most commonly caused ... #Radiology #CTChest ... #Lung #Pulmonary