Chest infection
•Download as PPTX, PDF•
2 likes•1,020 views
This document summarizes a medical case involving a 51-year-old female patient with a history of acute myeloid leukemia who presented with a two-week history of fever, cough, and sputum production. On examination, she exhibited signs of infection including fever and right-sided lung crackles. Laboratory tests showed pancytopenia. She has been diagnosed with a chest infection in the setting of her AML and persistent leukopenia from prior chemotherapy. She is being treated with antibiotics and antifungals and her condition is being monitored for signs of sepsis.
Report
Share
Report
Share
Recommended
Mohammed yaseen
A 17-year-old female presented with swelling of both lower limbs and was found to have renal impairment. She had fever, nausea, vomiting and progressive bilateral lower limb edema over the past week. One month prior she was treated for lower limb edema with prednisolone and was discovered to have renal impairment. On examination, she had pallor, neck vein congestion, lower limb edema, and mild pericardial effusion. Laboratory tests showed renal impairment with nephrotic range proteinuria. She was treated conservatively but did not improve and required hemodialysis. She underwent plasmapheresis and immunosuppression without recovery of renal function.
Hypothermia in an HIV-infected Patient
The document describes a presentation by Dr. J. Tyler Lonergan on a case of a 55-year-old HIV-positive male patient who presented with hypothermia and was eventually diagnosed with disseminated tuberculosis after cultures grew Mycobacterium tuberculosis from sputum, lymph node biopsy, and blood samples. The case highlights the importance of considering atypical infections like tuberculosis in the differential diagnosis of hypothermia in immunocompromised patients.
Ms2010 potpourri
Mr. CP, an auto mechanic with a history of diabetes, hypertension, hyperlipidemia, and stents, presented with gastritis and a gastric ulcer. He had been taking various medications including aspirin, Plavix, statins, and diabetes medications. Two weeks prior he developed melena and was found to have the gastric ulcer. His exam and labs were normal. The document discusses pulmonary embolism including risk factors, pathophysiology, clinical presentation, diagnostic workup using Wells criteria and CT, and treatment with anticoagulation, IVC filters, or thrombolytics. Mr. CP was initially treated with anticoagulation for his pulmonary embolism.
Fiebre en cirugia
This document discusses fever in surgical patients. It defines fever and classifies it by temperature. The most common causes of postoperative fever are discussed, including atelectasis, pneumonia, urinary tract infections, and drug reactions. Fever can have metabolic effects like increased basal metabolism and protein catabolism. Physiologically, it causes tachycardia, hyperventilation, and potential seizures or delirium. General treatment involves monitoring temperature, providing fluids, removing unnecessary devices, and administering antibiotics for infections. Medicinal treatments include paracetamol to reduce discomfort while the underlying cause is addressed.
Case presentation on parkinson's disease
A simple Case Presentation On Parkinsons disease
For any queries ask me questions so I can able to clear you as much fast as I can
Effusions Explored
The patient presented with breathlessness and swelling of the face and legs. Examination revealed elevated jugular venous pressure, bilateral pitting edema, and crepitations in both lung bases. Investigations showed cardiomegaly, bilateral pleural effusion, and hypothyroidism. The patient was diagnosed with heart failure, acute left ventricular failure, and hypothyroidism and started on diuretics, antihypertensives, and thyroxine replacement.
Interesting case presentation - PHEOCHROMOCYTOMA
Dr. P. Salamon Rajap G
Presented two interesting cases of Pheochromocytoma and discussed the importance of proper preoperative preparation to decrease morbidity and mortality for these types of tumors.
Asha mortality
1) A 50-year-old female with a history of metastatic colon cancer presented with abdominal distension and vomiting.
2) During an attempt to place an IV line for a CT scan, the patient became unresponsive. Resuscitation was required.
3) A CT scan showed an intraventricular hemorrhage. The patient's condition deteriorated and she eventually passed away despite recommendations for surgical decompression.
4) There were several delays in care including protecting the patient's airway, obtaining the CT scan, communicating the critical results, following up on results, and initiating treatments for brain edema.
Recommended
Mohammed yaseen
A 17-year-old female presented with swelling of both lower limbs and was found to have renal impairment. She had fever, nausea, vomiting and progressive bilateral lower limb edema over the past week. One month prior she was treated for lower limb edema with prednisolone and was discovered to have renal impairment. On examination, she had pallor, neck vein congestion, lower limb edema, and mild pericardial effusion. Laboratory tests showed renal impairment with nephrotic range proteinuria. She was treated conservatively but did not improve and required hemodialysis. She underwent plasmapheresis and immunosuppression without recovery of renal function.
Hypothermia in an HIV-infected Patient
The document describes a presentation by Dr. J. Tyler Lonergan on a case of a 55-year-old HIV-positive male patient who presented with hypothermia and was eventually diagnosed with disseminated tuberculosis after cultures grew Mycobacterium tuberculosis from sputum, lymph node biopsy, and blood samples. The case highlights the importance of considering atypical infections like tuberculosis in the differential diagnosis of hypothermia in immunocompromised patients.
Ms2010 potpourri
Mr. CP, an auto mechanic with a history of diabetes, hypertension, hyperlipidemia, and stents, presented with gastritis and a gastric ulcer. He had been taking various medications including aspirin, Plavix, statins, and diabetes medications. Two weeks prior he developed melena and was found to have the gastric ulcer. His exam and labs were normal. The document discusses pulmonary embolism including risk factors, pathophysiology, clinical presentation, diagnostic workup using Wells criteria and CT, and treatment with anticoagulation, IVC filters, or thrombolytics. Mr. CP was initially treated with anticoagulation for his pulmonary embolism.
Fiebre en cirugia
This document discusses fever in surgical patients. It defines fever and classifies it by temperature. The most common causes of postoperative fever are discussed, including atelectasis, pneumonia, urinary tract infections, and drug reactions. Fever can have metabolic effects like increased basal metabolism and protein catabolism. Physiologically, it causes tachycardia, hyperventilation, and potential seizures or delirium. General treatment involves monitoring temperature, providing fluids, removing unnecessary devices, and administering antibiotics for infections. Medicinal treatments include paracetamol to reduce discomfort while the underlying cause is addressed.
Case presentation on parkinson's disease
A simple Case Presentation On Parkinsons disease
For any queries ask me questions so I can able to clear you as much fast as I can
Effusions Explored
The patient presented with breathlessness and swelling of the face and legs. Examination revealed elevated jugular venous pressure, bilateral pitting edema, and crepitations in both lung bases. Investigations showed cardiomegaly, bilateral pleural effusion, and hypothyroidism. The patient was diagnosed with heart failure, acute left ventricular failure, and hypothyroidism and started on diuretics, antihypertensives, and thyroxine replacement.
Interesting case presentation - PHEOCHROMOCYTOMA
Dr. P. Salamon Rajap G
Presented two interesting cases of Pheochromocytoma and discussed the importance of proper preoperative preparation to decrease morbidity and mortality for these types of tumors.
Asha mortality
1) A 50-year-old female with a history of metastatic colon cancer presented with abdominal distension and vomiting.
2) During an attempt to place an IV line for a CT scan, the patient became unresponsive. Resuscitation was required.
3) A CT scan showed an intraventricular hemorrhage. The patient's condition deteriorated and she eventually passed away despite recommendations for surgical decompression.
4) There were several delays in care including protecting the patient's airway, obtaining the CT scan, communicating the critical results, following up on results, and initiating treatments for brain edema.
ACUTE RENAL FAILURE-ARF.
Acute renal failure is a condition where the kidneys fail to remove waste from the blood and regulate fluids, electrolytes, and pH balance. An 80-year-old female presented with nausea, vomiting, and abdominal pain for one week. Laboratory tests showed elevated BUN and creatinine levels consistent with acute renal failure. She has a history of hypertension, stroke, back pain, and anemia. Treatment included steroids and monitoring of kidney function through blood and urine tests.
Case presentation on drug induced erythema lesions
This document presents a case report of a 40-year-old male patient presenting with red, raised, scaly lesions all over his body for 15 days. The patient has a history of pulmonary tuberculosis and was taking antitubercular drugs for 2 months before developing the lesions. On examination, the patient has multiple erythematous, scaly plaques and papules with some crusty lesions on the palms and soles. Laboratory investigations show normocytic normochromic anemia and normal renal and liver function tests. The patient is assessed to have drug-induced erythema multiforme likely caused by the antitubercular drugs. He is prescribed medications to treat the condition and relieve symptoms along with lifestyle advice
A case study on acute renal failure
A 63-year-old male presented with abdominal distension, puffy face, severe headache, fever, breathing difficulty, and lower limb swelling. He had a history of hypertension, diabetes, renal calculi, alcohol use, and smoking. Examination found edema, fever, elevated blood pressure, wheezing, and ascites. Laboratory tests showed acute renal failure, hyperglycemia, anemia, thrombocytopenia, and electrolyte abnormalities. He was diagnosed with acute renal failure, diabetic nephropathy, hypertension, and type 2 diabetes. He was treated with diuretics, antibiotics, steroids, antihypertensives, anticoagulants, and insulin. At discharge his medications included
A Case of Schmidt Syndrome
The document describes a case of a 47-year-old female patient presenting with generalized weakness, giddiness, and other symptoms. After extensive examination and testing, she was diagnosed with Polyglandular Syndrome Type 2 (Schmidt's Syndrome), which involves autoimmune failure of multiple endocrine glands. Key findings included hypothyroidism, adrenal insufficiency, hypogonadism, and anemia. She was started on hormone replacement therapy and other treatment.
Non-STEMI that need Cath Lab NOW!; Smith at SMACC.
This document appears to be notes from an emergency medicine physician summarizing various patient cases involving ECG findings and cardiac issues. It includes brief details on 6 different patient cases, noting things like their presenting symptoms, initial ECG and lab results, treatments provided like catheterization, and outcomes. The cases involve a variety of cardiac conditions like myocardial infarction, myocarditis, and reduced left ventricular function.
Case presentation on vhf
viral haemorrhagic fever are a group of febrile illness caused by RNA viruses from several viral families
Stroke
A 64-year-old male patient presented with syncope, memory loss, muscle weakness, altered breathing and heart rate. He had a history of type 2 diabetes for 3 years. Investigations revealed a large left frontal intracerebral hemorrhage on CT and MRI scans. He was diagnosed with a cerebrovascular accident and diabetes. His treatment plan included medications to reduce intracranial pressure and bleeding, manage diabetes, and prevent further strokes.
Morning report (Minimalist)
A 23-year-old male presented with lower back pain, fatigue, cough, and fever for three months. Physical examination revealed tenderness in the lower back and ribs as well as an enlarged lymph node. Imaging showed bony lesions in the ribs and spine consistent with a diagnosis of multifocal skeletal tuberculosis, also known as Potts disease. The patient was started on antitubercular medications while further tests were conducted to confirm the diagnosis.
Tce simposio de manejo neurocritico
This document discusses traumatic brain injury (TBI) epidemiology and pathophysiology. It notes that TBI is a leading cause of death in polytrauma patients and that over 35% present with secondary injury lesions. The pathophysiology involves the Monroe-Kellie doctrine where intracranial pressure (ICP) equals mean arterial pressure minus intracranial volume. Initial management involves a thorough history and Glasgow Coma Scale assessment. Continuous multimodal monitoring of ICP, brain tissue oxygen, and other biomarkers may help manage severe TBI patients and observe disease changes over time.
Venous ulcer
The document presents a case report of a 56-year-old male patient admitted with a venous ulcer on his left lower leg complicated by congestive heart failure, type 2 diabetes mellitus, hypertension, and acute kidney injury. The patient's medical history and examination findings are documented over a hospital stay involving monitoring of vital signs and lab tests, along with management of his conditions through pharmacotherapy and procedures.
Case presentation on ALD with PORTAL HTN
A male pt of age 59 yrs presented with loss of appetite, belchings delirium tremens and was diagnosed as having ALD with portal hypertension.
Chest Infections
This document discusses various types of chest infections including acute bronchitis, acute exacerbation of chronic bronchitis, and community acquired pneumonia. It outlines the typical bacteria that cause these infections and recommends antibiotics for treatment. For most cases of acute bronchitis and community acquired pneumonia in previously healthy individuals, amoxicillin is recommended. Erythromycin is suggested if an atypical infection like Mycoplasma pneumoniae is suspected. Antibiotic use should be limited to cases where symptoms meet specific criteria to reduce antibiotic resistance.
Docslide:chest infection
This document discusses different types of chest infections including acute bronchitis, acute exacerbation of chronic bronchitis, and community acquired pneumonia. It outlines the typical bacteria that cause each infection and symptoms. Guidelines are provided on when antibiotics are appropriate and which antibiotics to use for different situations. Amoxicillin is usually recommended initially but alternatives like erythromycin are suggested if no improvement occurs.
Chest radiology part 1
This document contains descriptions and images related to various chest radiographic findings. It discusses topics like atelectasis, consolidation, masses, pneumothorax, vascular markings and abnormalities of the heart and lungs. Examples provided include lung cancer, tuberculosis, pneumonectomy and other pathologies. Key radiographic signs are defined to aid in diagnosis, such as the silhouette sign, S-shaped fissure and tracheal shift.
Bronchitis
Bronchitis is inflammation of the bronchi. Acute bronchitis causes cough and mucus production, often during a cold or flu. Chronic bronchitis is long-term cough and mucus production, usually caused by smoking or pollution. Acute bronchitis is usually viral but can be bacterial, while chronic bronchitis is caused by long-term airway irritation. Symptoms include cough, fatigue, and sore throat.
Rat poison
A 54-year-old female presented with dizziness, coughing up blood for 5 days, nosebleeds, vertigo, and facial swelling. She reported consuming rat poison. Examination found bruising on her chest, legs, and around her tonsils. Tests found prolonged clotting times and mild anemia. She was diagnosed with rat poisoning causing a coagulation disorder. She received transfusions of fresh frozen plasma and whole blood, vitamin K injections, and other supportive treatments. Rat poisons are commonly anticoagulant drugs that interfere with vitamin K and calcium homeostasis, leading to an inability to produce clotting factors and bleeding issues.
TB PRESENTATION
Tuberculosis (TB) is a disease caused by bacteria that usually attacks the lungs but can affect other parts of the body as well. It is most commonly spread through the air when people who are sick with pulmonary TB expel bacteria through coughs, sneezes or spit. Left untreated, each person with active TB disease will infect on average between 10 to 15 people each year.
Interactive case presentations //
- An 81-year-old man presented with abdominal pain and was found to have a bladder tumor, hydronephrosis, and small bowel obstruction. He underwent tumor removal but now has no urine output for 3 days.
- Exam finds decreased breath sounds on the right and abdominal distension. Labs show renal failure and congestive heart failure. A CT scan shows a right pleural effusion, retroperitoneal fluid, and bilateral hydronephrosis. Thoracentesis reveals exudative fluid.
- The findings are consistent with right-sided transudative pleural effusion and bilateral obstructive uropathy due to retroperitoneal fibrosis, likely from the patient's known bladder cancer.
Signs in chest imaging
The content of this power point presentation is derived from an article published in (Diagnostic Interventional Radiology journal).
ERS London 2016: Poster Discussion:Ultrasound Guided Pleural Brushing: a New ...
Ultrasound guided pleural brushing is a new technique for obtaining pleural specimens in patients with malignant pleural effusions. This study evaluated the diagnostic yield of ultrasound guided pleural brushing in 22 patients with suspected malignant pleural effusions. Pleural brushing alone yielded a positive diagnosis in 41% of patients and was the sole diagnostic technique in 14% of patients. When combined with pleural fluid cytology and biopsy forceps, ultrasound guided pleural brushing provided a positive diagnosis in 86% of patients. The study demonstrates that ultrasound guided pleural brushing is a simple, relatively safe procedure that provides additional diagnostic value in evaluating malignant pleural effusions.
Thoracic imaging terms part 1
This document defines and describes various thoracic imaging terms related to the lungs. It discusses air bronchograms, air crescents, air trapping, and other terms. For each term, it provides a definition and brief explanation of what the term refers to in radiographic images of the lungs. The document is intended as a reference for radiologists and others to understand common findings seen in chest x-rays and CT scans related to lung pathology.
Chest radiology part 3
Gamal Rabie Agmy, MD provides definitions and descriptions of various cavitary lung lesions and cystic mediastinal structures in 3 sentences or less:
Bullae are thin-walled air spaces greater than 1 cm in size that result from destruction and dilatation of distal airspaces. Pneumatoceles are thin-walled lung cysts less than 1 mm thick resulting from staph infection and necrosis. Honeycombing describes multiple cysts less than 1 cm in diameter in a background of fibrosis, representing end-stage lung disease.
More Related Content
What's hot
ACUTE RENAL FAILURE-ARF.
Acute renal failure is a condition where the kidneys fail to remove waste from the blood and regulate fluids, electrolytes, and pH balance. An 80-year-old female presented with nausea, vomiting, and abdominal pain for one week. Laboratory tests showed elevated BUN and creatinine levels consistent with acute renal failure. She has a history of hypertension, stroke, back pain, and anemia. Treatment included steroids and monitoring of kidney function through blood and urine tests.
Case presentation on drug induced erythema lesions
This document presents a case report of a 40-year-old male patient presenting with red, raised, scaly lesions all over his body for 15 days. The patient has a history of pulmonary tuberculosis and was taking antitubercular drugs for 2 months before developing the lesions. On examination, the patient has multiple erythematous, scaly plaques and papules with some crusty lesions on the palms and soles. Laboratory investigations show normocytic normochromic anemia and normal renal and liver function tests. The patient is assessed to have drug-induced erythema multiforme likely caused by the antitubercular drugs. He is prescribed medications to treat the condition and relieve symptoms along with lifestyle advice
A case study on acute renal failure
A 63-year-old male presented with abdominal distension, puffy face, severe headache, fever, breathing difficulty, and lower limb swelling. He had a history of hypertension, diabetes, renal calculi, alcohol use, and smoking. Examination found edema, fever, elevated blood pressure, wheezing, and ascites. Laboratory tests showed acute renal failure, hyperglycemia, anemia, thrombocytopenia, and electrolyte abnormalities. He was diagnosed with acute renal failure, diabetic nephropathy, hypertension, and type 2 diabetes. He was treated with diuretics, antibiotics, steroids, antihypertensives, anticoagulants, and insulin. At discharge his medications included
A Case of Schmidt Syndrome
The document describes a case of a 47-year-old female patient presenting with generalized weakness, giddiness, and other symptoms. After extensive examination and testing, she was diagnosed with Polyglandular Syndrome Type 2 (Schmidt's Syndrome), which involves autoimmune failure of multiple endocrine glands. Key findings included hypothyroidism, adrenal insufficiency, hypogonadism, and anemia. She was started on hormone replacement therapy and other treatment.
Non-STEMI that need Cath Lab NOW!; Smith at SMACC.
This document appears to be notes from an emergency medicine physician summarizing various patient cases involving ECG findings and cardiac issues. It includes brief details on 6 different patient cases, noting things like their presenting symptoms, initial ECG and lab results, treatments provided like catheterization, and outcomes. The cases involve a variety of cardiac conditions like myocardial infarction, myocarditis, and reduced left ventricular function.
Case presentation on vhf
viral haemorrhagic fever are a group of febrile illness caused by RNA viruses from several viral families
Stroke
A 64-year-old male patient presented with syncope, memory loss, muscle weakness, altered breathing and heart rate. He had a history of type 2 diabetes for 3 years. Investigations revealed a large left frontal intracerebral hemorrhage on CT and MRI scans. He was diagnosed with a cerebrovascular accident and diabetes. His treatment plan included medications to reduce intracranial pressure and bleeding, manage diabetes, and prevent further strokes.
Morning report (Minimalist)
A 23-year-old male presented with lower back pain, fatigue, cough, and fever for three months. Physical examination revealed tenderness in the lower back and ribs as well as an enlarged lymph node. Imaging showed bony lesions in the ribs and spine consistent with a diagnosis of multifocal skeletal tuberculosis, also known as Potts disease. The patient was started on antitubercular medications while further tests were conducted to confirm the diagnosis.
Tce simposio de manejo neurocritico
This document discusses traumatic brain injury (TBI) epidemiology and pathophysiology. It notes that TBI is a leading cause of death in polytrauma patients and that over 35% present with secondary injury lesions. The pathophysiology involves the Monroe-Kellie doctrine where intracranial pressure (ICP) equals mean arterial pressure minus intracranial volume. Initial management involves a thorough history and Glasgow Coma Scale assessment. Continuous multimodal monitoring of ICP, brain tissue oxygen, and other biomarkers may help manage severe TBI patients and observe disease changes over time.
Venous ulcer
The document presents a case report of a 56-year-old male patient admitted with a venous ulcer on his left lower leg complicated by congestive heart failure, type 2 diabetes mellitus, hypertension, and acute kidney injury. The patient's medical history and examination findings are documented over a hospital stay involving monitoring of vital signs and lab tests, along with management of his conditions through pharmacotherapy and procedures.
Case presentation on ALD with PORTAL HTN
A male pt of age 59 yrs presented with loss of appetite, belchings delirium tremens and was diagnosed as having ALD with portal hypertension.
What's hot (11)
Case presentation on drug induced erythema lesions
Case presentation on drug induced erythema lesions
Non-STEMI that need Cath Lab NOW!; Smith at SMACC.
Non-STEMI that need Cath Lab NOW!; Smith at SMACC.
Viewers also liked
Chest Infections
This document discusses various types of chest infections including acute bronchitis, acute exacerbation of chronic bronchitis, and community acquired pneumonia. It outlines the typical bacteria that cause these infections and recommends antibiotics for treatment. For most cases of acute bronchitis and community acquired pneumonia in previously healthy individuals, amoxicillin is recommended. Erythromycin is suggested if an atypical infection like Mycoplasma pneumoniae is suspected. Antibiotic use should be limited to cases where symptoms meet specific criteria to reduce antibiotic resistance.
Docslide:chest infection
This document discusses different types of chest infections including acute bronchitis, acute exacerbation of chronic bronchitis, and community acquired pneumonia. It outlines the typical bacteria that cause each infection and symptoms. Guidelines are provided on when antibiotics are appropriate and which antibiotics to use for different situations. Amoxicillin is usually recommended initially but alternatives like erythromycin are suggested if no improvement occurs.
Chest radiology part 1
This document contains descriptions and images related to various chest radiographic findings. It discusses topics like atelectasis, consolidation, masses, pneumothorax, vascular markings and abnormalities of the heart and lungs. Examples provided include lung cancer, tuberculosis, pneumonectomy and other pathologies. Key radiographic signs are defined to aid in diagnosis, such as the silhouette sign, S-shaped fissure and tracheal shift.
Bronchitis
Bronchitis is inflammation of the bronchi. Acute bronchitis causes cough and mucus production, often during a cold or flu. Chronic bronchitis is long-term cough and mucus production, usually caused by smoking or pollution. Acute bronchitis is usually viral but can be bacterial, while chronic bronchitis is caused by long-term airway irritation. Symptoms include cough, fatigue, and sore throat.
Rat poison
A 54-year-old female presented with dizziness, coughing up blood for 5 days, nosebleeds, vertigo, and facial swelling. She reported consuming rat poison. Examination found bruising on her chest, legs, and around her tonsils. Tests found prolonged clotting times and mild anemia. She was diagnosed with rat poisoning causing a coagulation disorder. She received transfusions of fresh frozen plasma and whole blood, vitamin K injections, and other supportive treatments. Rat poisons are commonly anticoagulant drugs that interfere with vitamin K and calcium homeostasis, leading to an inability to produce clotting factors and bleeding issues.
TB PRESENTATION
Tuberculosis (TB) is a disease caused by bacteria that usually attacks the lungs but can affect other parts of the body as well. It is most commonly spread through the air when people who are sick with pulmonary TB expel bacteria through coughs, sneezes or spit. Left untreated, each person with active TB disease will infect on average between 10 to 15 people each year.
Interactive case presentations //
- An 81-year-old man presented with abdominal pain and was found to have a bladder tumor, hydronephrosis, and small bowel obstruction. He underwent tumor removal but now has no urine output for 3 days.
- Exam finds decreased breath sounds on the right and abdominal distension. Labs show renal failure and congestive heart failure. A CT scan shows a right pleural effusion, retroperitoneal fluid, and bilateral hydronephrosis. Thoracentesis reveals exudative fluid.
- The findings are consistent with right-sided transudative pleural effusion and bilateral obstructive uropathy due to retroperitoneal fibrosis, likely from the patient's known bladder cancer.
Signs in chest imaging
The content of this power point presentation is derived from an article published in (Diagnostic Interventional Radiology journal).
ERS London 2016: Poster Discussion:Ultrasound Guided Pleural Brushing: a New ...
Ultrasound guided pleural brushing is a new technique for obtaining pleural specimens in patients with malignant pleural effusions. This study evaluated the diagnostic yield of ultrasound guided pleural brushing in 22 patients with suspected malignant pleural effusions. Pleural brushing alone yielded a positive diagnosis in 41% of patients and was the sole diagnostic technique in 14% of patients. When combined with pleural fluid cytology and biopsy forceps, ultrasound guided pleural brushing provided a positive diagnosis in 86% of patients. The study demonstrates that ultrasound guided pleural brushing is a simple, relatively safe procedure that provides additional diagnostic value in evaluating malignant pleural effusions.
Thoracic imaging terms part 1
This document defines and describes various thoracic imaging terms related to the lungs. It discusses air bronchograms, air crescents, air trapping, and other terms. For each term, it provides a definition and brief explanation of what the term refers to in radiographic images of the lungs. The document is intended as a reference for radiologists and others to understand common findings seen in chest x-rays and CT scans related to lung pathology.
Chest radiology part 3
Gamal Rabie Agmy, MD provides definitions and descriptions of various cavitary lung lesions and cystic mediastinal structures in 3 sentences or less:
Bullae are thin-walled air spaces greater than 1 cm in size that result from destruction and dilatation of distal airspaces. Pneumatoceles are thin-walled lung cysts less than 1 mm thick resulting from staph infection and necrosis. Honeycombing describes multiple cysts less than 1 cm in diameter in a background of fibrosis, representing end-stage lung disease.
TB from Head to Toes
This document provides an overview of tuberculosis, including its epidemiology, pathogenesis, clinical manifestations, diagnosis and radiographic findings. It describes how TB is transmitted and the different forms it can take, from primary pulmonary TB to post-primary reactivation. Key points include that 95% of cases occur in developing countries, TB is transmitted via airborne droplets, and post-primary TB results from reactivation of a dormant infection and is seen mainly in adolescents and adults. A variety of radiographic manifestations are presented, such as cavitary lesions, fibrosis, bronchiectasis and lymphadenopathy.
Chest radiology part 2
There are several types of atelectasis that can occur: absorption, relaxation, adhesive, cicatricial, and round. Atelectasis causes signs of loss of lung volume such as shift of mediastinum, elevation of diaphragm, crowding of ribs, and movement of fissures and hilar structures. On imaging, atelectasis appears as a homogeneous density and causes asymmetry of the hemithorax on the affected side. The document also discusses characteristics, patterns, and radiographic findings of various cavitary lung lesions.
Chest Film Part 2
This document is a lecture on radiology and identifying features on chest x-rays related to the heart. It discusses several terms used to describe excess blood or fluid seen on x-rays, such as plethora, and gives examples of how certain objects seen on x-rays can indicate medical conditions, like a flagon-shaped fluid collection representing a pericardial effusion. It also notes that the bioluminescent enzyme found in fireflies and foxfire fungi is called luciferase, derived from the name Lucifer.
Radiology interactive session
An 81-year-old woman presented with shortness of breath. She had a history of asthma as a child and cardiac bypass surgery 5 years prior. Blood tests were unremarkable. A chest X-ray and CT scan were performed. An X-ray followed by CT scan of a 81-year-old woman with recent onset shortness of breath, history of asthma and cardiac surgery, and normal blood tests showed no concerning findings, making pulmonary embolism the most likely diagnosis.
Antibiotic strategy in CAP & AECOPD
This document discusses antibiotic strategies for community-acquired pneumonia (CAP) and exacerbations of chronic obstructive pulmonary disease (AECOPD). It outlines the mechanisms of action, testing, and spectrum of various antimicrobial drugs. It also describes methods for assessing the severity of CAP cases and determining appropriate treatment and site of care based on severity scores. Empiric antibiotic recommendations are provided for outpatient, inpatient, ICU, and specific pathogen cases of CAP.
Reticular pattern
The document discusses the reticular pattern seen on CT scans of the lung. A reticular pattern results from the superimposition of irregular linear opacities, forming a mesh-like or network appearance. Reticular opacities can be fine, medium, or coarse depending on the width of the opacities. A classic reticular pattern is seen in pulmonary fibrosis where curvilinear opacities form small cystic honeycomb spaces along the pleural margins and bases. Potential causes of interlobular septal thickening seen on CT include pulmonary edema, lymphangitic carcinomatosis, fibrosis, and sarcoidosis. Honeycombing signifies the presence of fibrosis and is seen commonly in idiopathic
NIV Weaning
This document discusses non-invasive positive pressure ventilation (NIPPV). It defines NIPPV as ventilation without an invasive airway and notes its increasing use for acute respiratory failure. The document covers the history of NIPPV, indications, goals, advantages, patient selection criteria, initiation procedures, modes (including CPAP, BiPAP, volume vs pressure), and settings. NIPPV can effectively treat various conditions like COPD, heart failure, and respiratory infections while avoiding intubation. Careful patient selection and monitoring are important for successful NIPPV.
Master radiology notes chest
This document provides an overview of how to interpret a normal chest x-ray and describes various imaging views and findings. It discusses the appearance of the heart, lungs, diaphragm and other structures on a posteroanterior view. Additional views like lateral films and inspiratory/expiratory films are mentioned. Common differentials like Kerley lines and the silhouette sign are also summarized.
Ultrasound Guided Pleural Procedures
Ultrasound is useful for both diagnosing and guiding procedures involving the pleura. It can detect pleural effusions and pneumothoraces more sensitively than chest x-rays. Ultrasound improves the accuracy of pleural procedures by identifying the best puncture site and reducing complications. Evidence shows ultrasound-guided thoracenteses reduce the risk of pneumothorax compared to procedures without ultrasound. The document discusses using ultrasound to characterize pleural effusions, detect pneumothoraces, identify pleural thickening, and guide biopsies and drainage of pleural tumors or collections.
Viewers also liked (20)
ERS London 2016: Poster Discussion:Ultrasound Guided Pleural Brushing: a New ...
ERS London 2016: Poster Discussion:Ultrasound Guided Pleural Brushing: a New ...
Similar to Chest infection
Polycythemia
This patient presented with polycythemia, which was diagnosed based on elevated hemoglobin, hematocrit, and red blood cell counts. The patient is currently asymptomatic. Treatment involves phlebotomy and low-dose aspirin to reduce blood cell counts and risk of clots. Complications of polycythemia include blood clots leading to risks like stroke and heart attack, as well as other blood disorders if not properly treated. Additional testing is recommended to further evaluate blood sugar levels and whether medications like hydroxyurea should be used.
Superior vena cava syndrome
This document discusses Superior Vena Cava Syndrome (SVCS), which occurs when the Superior Vena Cava (SVC) is compressed, reducing blood flow from the head and upper body. The document covers the case presentation of a patient with SVCS, including symptoms, imaging findings, and treatment. It then provides details on the anatomy, etiologies, clinical features, imaging and classification of SVCS. Treatment options for malignant causes of SVCS such as radiation therapy, chemotherapy and stenting are described. A grading system and treatment algorithm for SVCS are also presented.
Presentation2
The 62-year-old man presented with chest pain, difficulty breathing, palpitations, and fever for 4 weeks. Tests showed signs of a prior heart attack and severely reduced heart function. He was admitted to the intensive care unit for treatment of heart failure due to ischemic cardiomyopathy with an ejection fraction of 20%, borderline shock, and arrhythmia risks as an early complication of his heart attack.
DY 17,08.2023-1.pptx
1) A 35-year-old woman at 37 weeks and 3 days with twin pregnancy presented in late labor and was admitted. She delivered via c-section twins A and B weighing 4kg and 2.8kg respectively.
2) A 57-year-old woman with a history of 6 pregnancies and 5 live births presented with abdominal pain, distension and weight loss. Imaging found abdominal masses. She was admitted for hydration and further investigation including CT scan and ultrasound.
3) A 29-year-old primigravida at 41 weeks gestation by dates was admitted for induction of labor by cervical ripening with cytotec. She had not achieved active labor after her fifth dose.
A Case of Pure Red Cell Aplasia
The document describes a case of a 42-year-old man presenting with breathlessness and anemia who was diagnosed with a mediastinal mass (thymoma) and pure red cell aplasia (PRCA) based on bone marrow findings. He underwent thymectomy and was treated with steroids for his PRCA. PRCA is a rare cause of normocytic normochromic anemia characterized by absence of erythroblasts in the bone marrow that can be associated with thymoma and treated with steroids, IVIG, or surgery.
Hemophagocytic Lymphohistiocytosis - HLH
Hemophagocytic Lymphohistiocytosis - HLH
epidemiology, clinical presentation, treatments and outcomes.
Unexplained weight loss
A 27-year-old female presented with 6 months of upper abdominal pain and occasional nausea and vomiting. On examination, she was found to be severely malnourished with a body mass index of 14.06. Laboratory tests found iron deficiency anemia. The cause of her weight loss and anemia was unclear, though inflammatory bowel disease such as Crohn's disease or ulcerative colitis were suspected given her abdominal pain and elevated inflammatory markers. Further diagnostic testing was needed to determine the underlying cause.
Benigh prostatic hyperplasia
This case report summarizes the treatment of a 66-year-old male patient presenting with benign prostatic hyperplasia (BPH). The patient reported symptoms of dysuria, urinary frequency, and lumbar pain. Physical examination and tests revealed an enlarged prostate, elevated creatinine, and urinary tract infection. The patient was treated with antibiotics and combination drug therapy. He later underwent a cystoscopy and transurethral resection of the prostate, which successfully resolved his symptoms.
Pneumothorax
This patient is a 20-year-old male who presented with sudden difficulty breathing, non-productive cough, and chest pain. His history includes treatment for pulmonary tuberculosis in 2018. Physical exam and chest X-ray revealed a massive left-sided pneumothorax. A chest tube was inserted, providing some relief. Further imaging showed evidence of prior PTB as well as pulmonary blebs. The patient was admitted and treated conservatively with oxygen, analgesics, and incentive spirometry. His pneumothorax gradually resolved over four days of inpatient monitoring.
Approach to chest pain recording
This document provides guidance on evaluating and managing chest pain. It lists common cardiac, pulmonary, aortic, chest wall, and esophageal causes of chest pain. It describes typical versus atypical chest pain characteristics and provides the Modified Wells Criteria for evaluating pulmonary embolism risk. Evaluation steps are outlined including EKG, labs, and imaging. Specific cases are presented and addressed, including acute coronary syndrome, pulmonary embolism, aortic dissection, and pericarditis.
Approach to chest pain 3 17- 2020
This document provides guidance on evaluating and managing chest pain. It lists common cardiac, pulmonary, aortic, chest wall, and esophageal causes of chest pain. It describes typical versus atypical chest pain characteristics and provides the Modified Wells Criteria for evaluating pulmonary embolism risk. Evaluation involves history, physical exam, EKG, and lab tests. The document reviews two case studies of patients presenting with chest pain and outlines diagnostic and treatment approaches.
Caso completo
1. The patient presented with an 8-day fever, headache, asthenia, cough, and generalized arthralgias. Exam found pallor, facial and leg edema, conjunctival jaundice, and tender hepatosplenomegaly.
2. Tests showed pancytopenia, elevated liver enzymes and ferritin, and imaging found bilateral interstitial infiltrates. Serology was positive for Coxiella burnetii phase I antibodies.
3. The diagnosis was considered to be Q fever with a hemophagocytic syndrome. Treatment with doxycycline and steroids was started, with improvement of symptoms and laboratory abnormalities. Rarely, Q fever can
Case of uterine fibroid and RHD on pregnancy.
Sharing experience about patient management, which can help improving health care,
In this regard Sharing my interesting case can be useful to my fellow physicians who will have access on the case that I am now Sharing. So the presenting symptoms of the
Haemoptysis
This 81-year-old male presented with a 2-week history of haemoptysis. He had a history of smoking and comorbidities including heart disease and hypertension. Initial workup found a lung mass and CT showed possible liver lesions. Bronchoscopy confirmed squamous cell carcinoma of the right lower lobe. He was discharged after his haemoptysis resolved with follow up by oncology.
Case presentation ovarian tumur .tasnuva
This document summarizes a medical case involving a 52-year-old female patient presenting with a lower abdominal mass. She reported a 5 month history of the mass along with weight loss and pain over the past 3 months. Physical examination revealed a large abdominal mass. Imaging studies including ultrasound and CT scan showed a large solid-cystic pelvic mass likely originating from the left ovary. Based on findings and elevated CA-125 level, the impression was of a likely malignant ovarian tumor. The recommended management was surgical staging and tumor debulking followed by chemotherapy.
Sample+2
1. A 57-year-old woman with stage IV supraglottic cancer and lung cancer has a persistent fever and positive blood cultures while using a MediPort for chemotherapy.
2. She has a history of radiation therapy, pulmonary embolisms, and DVT and is being anticoagulated with Arixtra.
3. The doctor plans to discontinue her Arixtra and remove the MediPort the following day under local anesthesia due to risks of bleeding, wound problems, and ongoing infection.
Dr ayman elshahawy case2
This case report summarizes 3 patients with end-stage renal disease undergoing hemodialysis.
Patient 1 is a 53-year-old man who has been on hemodialysis for 9 years. His anemia is being treated but his PTH level needs correction. Improving his nutrition is also recommended.
Patient 2 is a 72-year-old man who has had carpal tunnel surgery. His anemia and dialysis efficiency need improvement.
Patient 3 is a 53-year-old man whose high blood pressure is being treated. However, his hemoglobin is elevated and repeated blood removal from the dialysis circuit is recommended to address this polycythemia.
OMPHALITIS
A 4-day-old male infant was admitted to the hospital for vomiting. He was diagnosed with sepsis neonatorum and omphalitis (umbilical infection). He received intravenous antibiotics and wound care. His condition improved and he was discharged after 6 days with oral antibiotics to complete the course of treatment.
conference preop obes (1).pptx
This document discusses a multidisciplinary conference for a 67-year-old female patient scheduled for elective gastric bypass surgery who is at high risk due to medical comorbidities. The patient has a history of obesity, hypertension, asthma, and is classified as ASA physical status 3. Preoperative evaluations found she has a dilated left ventricle, pneumonia, and episodes of low oxygen saturation. The conference aims to determine if surgery should proceed given her high anesthetic and surgical risks or be postponed until medical issues are optimized.
Similar to Chest infection (20)
Recently uploaded
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Top Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Fallopian tube blockage may cause female infertility. For treatment, herbal medicine Fuyan Pill can be a solution.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort. Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Nano-gold for Cancer Therapy chemistry investigatory project
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Foundation of Yoga, YCB Level-3, Unit-1
Unit -1 of Yoga certification board, level 3, all topics covered. An exam conducted by ministry of Ayush for yoga enthusiastic students.
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
5 Effective Homeopathic Medicines for Irregular Periods
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Recently uploaded (20)
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
Pune Call Girls 7339748667 AVAILABLE HOT GIRLS AUNTY BOOK NOW
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Chest infection
- 1. Arphan Azaad
- 2. 51 year old female k/c/o AML treated with chemotherapy presented with: Chief Complains: Fever with Cough & Sputum x 2 weeks sweating+
- 3. G/C:Fair VITALS: P:89/min BP:80/40mmHg T:37.6C Chest:Rt. Sided Crepts+ RR:20/min CVS:S1,S2,M0 P/A:Soft,Tenderness around Rt. hypochondric area+ Rt. ileal Region+
- 4. JAUNDICE:Absent ANAEMIC:+ LYMPH NODE: Non Palpable CYANOSIS: Absent CLUBBING: Absent OEDEMA:Absent DEHYDRATION: Absent
- 5. Personal h/o:Negative Smoking and Alcohol h/o Medical h/o:No DM,HTN,HEPATITIS,PTB Surgical h/o:Hysterectomy done 5 years back
- 6. COMPLETE BLOOD COUNT:(Pancytopenia) WBC:1X10*9/L(N=42%),L(48%), RBC:2.55X10*12/L,HB:59g/L,MCV:81.82fl PLT:46X10*9/L, RET%:1.63% RENAL FUNCTION TEST: Urea:3.15mmol/L,Cr:30umol/L Na:139mmol/L,K:4mmol/L
- 14. AML B/L CHEST INFECTION
- 15. Inj IMIPENEM 500mg iv tid Tab ITRACONAZOLE 200 mg qd Tan KETOTIFEN 2mg PO TID OTHER Supportive management
- 16. Patient is a diagnosed case of AML previously received chemotherapy,persistent Leucopenia might have contributed to the severity of infection? Currently being managed for Chest Infection! Antifungal drug is being given for further prophylaxis.
- 17. IS PATENT PROGRESSING TO SEPSIS,SIRS? Evaluation of Pleural Fluid is most for further management? Blood c/s, Sputum c/s to select a proper antibiotic and isolating bacteria? Does chronic prescription of G-CSF OR similar medicine improves the Leucocytes,Neutrophil count?
- 20. THANK YOU