Lung Abscess Flashcards

1
Q

Primary lung abscess

A

Due to aspirations

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2
Q

Secondary lung abscess

A

Immunocopromised
Malignant patients
Hematogenous spread

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3
Q

Commonest organisms

A

Anaerobic organisms

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4
Q

Acute lung abscess

A

4-6 weeks

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5
Q

Chronic lung abscess

A

More than 6 weeks

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6
Q

Risk factors

A

LOC
Cystic fibrosis
Foreign body
Aspirations
Pneumonia

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7
Q

Diagnosis of lung abscess

A

Chest ct (air fluid level in cavity and intraparenchymal cavity with thick wall)

Blood sputum culture

Brocho alveolar biopsy

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8
Q

Mgt stays up to

A

3-6 weeks ( ampicillin sulbactam therapy)
Or until clinical and radiological improvement seen

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9
Q

Lung abscess complications

A

Empyema
Effusion
Pneumothorax
Fistulae
Abscess
Bronchiectasis

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