- 2 potato
sign on CXR (refers to hilar nodes)
Posted 11/10/16 01:52:37 PM by Adam Faye
- Mycetoma- chronic subcutaneous infection caused by actinomycetes or fungi (results in granulomatous)
- CAP can cause hemoptysis if patient has bronchiectasis
- Fungitell not particularly sensitive/specific; useful for PCP detection
Posted 11/10/16 02:07:52 PM by Adam Faye
- Death usually from asphyxiation not exsanguination
- Whichever lung the bleed is suspected in - put that side down in the lateral decubitus position (protects the "good" lung from being filled with blood).
- **Get IR involved right away, and can think about intubating just a mainstem bronchus of the good lung or placing an endobronchial blocker/double lumen ETT.
- Bronchial Artery most likely to bleed
- Remember to correct coagulopathy
Posted 11/10/16 02:15:48 PM by Adam Faye
- B/L hilar adenopathy (regression of nodes occurs in 75% of individuals)
- B/L hilar adenopathy and reticular opacities (upper lobe predominant)
- Reticular opacities with shrinking hilar nodes
- Reticular opacities with evidence of volume loss
- Many undergo spontaneous remission
- When giving steroids- clinical effectiveness is defined by improvement in lung function rather than by just "feeling better"
Posted 11/10/16 02:40:30 PM by Adam Faye
Created by Christopher Kelly
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It is not meant to replace the advice of a health professional.