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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Abscess Diagnosis ... CT Lung Abscess ... #Abscess #pulmonary
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... throughout the lungs ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
massiliense in CF ... • Dyspnea, • Chest ... Diagnosis Of NTM ... Imaging, high res CT ... #differential #diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
aches, joint pain, chest ... Sinusitis • Brain abscess ... change in the lungs ... scalp, vagina, fingers ... nails, bronchi, lungs
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... be present at all ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
revealed multiple pulmonary ... patient received a diagnosis ... progressive bacterial infection ... #NEJM #clinical ... #radiology #CT #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... Skin exam for infection ... disease b) CHF ... unless prior heart/lung ... stratification #diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis