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management differential abscess activetb latenttb tuberculosis algorithm bronchiectasis causes chestxray contusion copd ctchest exacerbation myelitis neurology radiology rheumatology sarcoidosis signs
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
• Indolent symptoms ... , hemoptysis Treatment ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR ... , Lung US, Echo, ... : • Clinical examination ... #Exacerbation #treatment ... #pulmonary
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
tuberculosis infections/year ... characteristic features Clinical ... and Culture • CXR ... disease • Check CXR ... #Diagnosis #Management
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
tuberculosis infections/year ... characteristic features Clinical ... and Culture • CXR ... disease • Check CXR ... #Diagnosis #Management
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Blood cultures • CXR ... westermani • Other: TB ... #Abscess #pulmonary
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... obstruction • COPD ... • Infection: TB ... in the adjacent lung ... mycobacteria Treatment
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... e.g. incidental CXR ... Pulmonary: dyspnea ... anterior/posterior MSK
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... bouts of HTN Diagnostic ... Bilateral signs and/or symptoms ... , Hep A/B/CMV, TB ... Transverse Myelitis Treatment
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... phenomenon (16%) MSK ... MALT Lymphoma • Lung ... Adenocarcinoma Treatment ... Symptomatic: artificial tears
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... exam findings and clinical ... a chest x-ray (CXR ... not seen on a CXR ... Radiology #CTChest #Lung
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