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LUNG ABSCESS
PRESENTATION
Presented by- RAJMANI GAUTAM
▪
👉 Introduction
👉 Definition
👉 Diagram
▪
👉 Causes
▪
👉 Risk Factor
👉 Pathophysiology
▪
👉 Clinical Manifestation
▪
👉 Diagnostic Evaluation
CONTENT :
Conti......
▪
👉 Management
▪
👉 Prevention
▪
👉 Complications
▪
👉 Summary
▪
👉 Conclusion
Introduction :
•
•
Lung abscess represents necrosis and
cavitation of the lung following
microbial infection.
Lung abscesses can be single or
multiple but usually are marked by a
single dominant cavity >2cm in
diameter.
Definition :
•
•
Lung abscess is a pus containing
lesion of the lung parenchyma that
gives to a cavity.
The cavity is formed by necrosis of
the lung tissue.
Fig : Lung Abscess
Cause :
•
•
•
•
Infectious agent, i.e. Klebsiella, s
-aureus and anaerobic bacilli
Tuberculosis
Fungal disease of lung
Pulmonary embolism
Explain with Pemplets
Risk Factor :
•
•
•
•
•
Alcoholism
Drug overdose
Cerebrovascular accidents
Infectious disease
General anaesthesia
Explain with Pemplets
Pathophysiology :
Aspiration of infected material or foreign body
Pneumonitis impairs drainages of fluid or aspirated
material
Inflammatory vascular obstruction
Tissue necrosis, liquefaction
Abscess formation
Clinical Manifestations :
•
•
•
•
•
•
Chest pain
Anorexia
Weight loss
Fever and cough
Dysplasia
Blood sputum
Diagnostic Evaluation :
•
•
•
•
•
•
History collection
Physical examination
Chest X-ray
CT scan of chest
Blood culture
Bronchoscopy Explain with Leaflet
Management :
Goals :
◾To relieve the pain
◾Remove the fluid
◾To prevent infection
◾To prevent complications.
Explain with Leaflet
Medical Management :
◾Antibiotics (e.g., penicillin for 6-8 weeks)
◾Chest physiotherapy
◾Mouth care by diluted hydrogen peroxide
Surgical Management :
•
•
Laboctomy- A laboctomy is surgical
procedure where an entire lobe your lung
is removed.
Pneumonectomy- Pneumonectomy is a
surgical procedure to remove the lung.
Nursing Management :
•
•
•
•
•
•
Encourage a diet high in protein and calories.
Provide psychological support.
Assess the patient's physical condition and nutritional
status.
Teach the patient about health promotive practices.
Provide rest, good nutrition and fluid intake to
facilitate recovery.
Improve the knowledge regarding the disease process
and prevention.
Prevention :
◾Appreciate antibiotic therapy.
◾Adequate dental and oral hygiene.
◾Antimicrobial therapy for patient with
pneumonia.
Complications :
◾Chronic pulmonary abscess.
◾Brain abscess
◾Hemorrhage from blood vessels
◾Respiratory failure
◾Sepsis
◾Fungal infection
◾Bleeding.
SUMMARY
Lung abscess is defined as necrosis of the
pulmonary tissue and formation of cavities
containing necrotic debris or fluid caused by
microbial infection.
◾The formation of multiple small (<2 CM)
abscesses is occasionally referred to as necrotizing
pneumonia or lung gangrene.
CONCLUSION
◾A patient 20 years female diagnosed with lung
abscess with empyema thorasis was a part of my case
presentation, she was presented with complaints of
cough with yellowish colour sputum and fever for three
days.
◾The case presentation includes detailed information,
clinical features, book picture details on disease
condition, etiology, pathophysiology, management and
complications.
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