Empyema - Revision history

Elcatracho: /* See Also */

2021-01-15T22:22:15Z

Elcatracho: /* Causes */

2021-01-15T22:21:16Z

Causes

← Older revision		Revision as of 22:21, 15 January 2021
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	===Causes===		===Causes===
	*[[Pneumonia]]		*[[Pneumonia]] (most common)
	*Complications of [[thoracic trauma\|chest]] or [[abdominal trauma]]		*Complications of [[thoracic trauma\|chest]] or [[abdominal trauma]]
	*[[Esophageal perforation]]		*[[Esophageal perforation]]

ClaireLewis at 15:31, 12 October 2019

2019-10-12T15:31:09Z

← Older revision		Revision as of 15:31, 12 October 2019
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	*Complications of [[thoracic trauma\|chest]] or [[abdominal trauma]]		*Complications of [[thoracic trauma\|chest]] or [[abdominal trauma]]
	*[[Esophageal perforation]]		*[[Esophageal perforation]]
	*Extension from lung abscess		*Extension from [[lung abscess]]
	*[[Osteomyelitis]] or other near pleural infections		*[[Osteomyelitis]] or other near pleural infections
	*[[Hemothorax]], [[chylothorax]], or [[hydrothorax]] that becomes infected		*[[Hemothorax]], [[chylothorax]], or [[hydrothorax]] that becomes infected
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	*[[Hemoptysis]]		*[[Hemoptysis]]
	*Recent diagnosis and/or treatment for [[Pneumonia]]		*Recent diagnosis and/or treatment for [[Pneumonia]]
	*History of penetrating chest trauma or diaphragmatic injury<ref>Barmparas G, DuBose J, Teixeira PG, Recinos G, Inaba K, Plurad D. Risk factors for empyema after diaphragmatic injury: results of a National Trauma Databank analysis. J Trauma. Jun 2009;66(6):1672-6</ref>		*History of penetrating [[chest trauma]] or [[diaphragmatic injury]]<ref>Barmparas G, DuBose J, Teixeira PG, Recinos G, Inaba K, Plurad D. Risk factors for empyema after diaphragmatic injury: results of a National Trauma Databank analysis. J Trauma. Jun 2009;66(6):1672-6</ref>

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
	*Treat underlying disease		*Treat underlying disease
	*O2 if [[Hypoxemia]]		*[[O2]] if [[Hypoxemia]]
	*Perform [[thoracentesis]] vs. [[chest tube]] if evidence of respiratory distress		*Perform [[thoracentesis]] vs. [[chest tube]] if evidence of respiratory distress
	**May need Video-Assisted Thoracic surgery (VATS)		**May need Video-Assisted Thoracic surgery (VATS)

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T08:03:37Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 08:03, 9 September 2016
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	===Work Up===		===Work Up===
	*CBC		*CBC
	*CXR		*[[CXR]]
	*[[Thoracentesis]]		*[[Thoracentesis]]
	*Sputum Culture -- Acid Fast Bacilli (If TB suspected)		*Sputum Culture -- Acid Fast Bacilli (If TB suspected)

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-21T21:50:33Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 21:50, 21 July 2016
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	*[[Pulmonary embolism]]		*[[Pulmonary embolism]]

	==~~Diagnosis~~==		==Evaluation==
	===Work Up===		===Work Up===
	*CBC		*CBC

ClaireLewis: /* Differential Diagnosis */

2016-07-19T03:27:42Z

Differential Diagnosis

← Older revision		Revision as of 03:27, 19 July 2016
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	*[[Tuberculosis]]		*[[Tuberculosis]]
	*[[Pleural Effusion]]		*[[Pleural Effusion]]
	*[[~~Wegener~~'s ~~granulomatosis]]~~		*[[Granulomatosis with polyangiitis]] (wegener's)
	*[[Pulmonary embolism]]		*[[Pulmonary embolism]]

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-14T03:05:54Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 03:05, 14 July 2016
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	*Stages		*Stages
	*#Exudative - Free-flowing pleural effusion amenable to chest tube drainage; may only last <48hr		*#Exudative - Free-flowing pleural effusion amenable to chest tube drainage; may only last <48hr
	*#Fibrinopurulent - Loculations develop making resolution w/ single chest tube drainage unlikely		*#Fibrinopurulent - Loculations develop making resolution with single chest tube drainage unlikely
	*#Organizational - Takes several weeks to develop; "pleural peel" restricts lung expansion		*#Organizational - Takes several weeks to develop; "pleural peel" restricts lung expansion

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T08:26:31Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 08:26, 7 July 2016
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	**LDH >1000 IU/mL		**LDH >1000 IU/mL

	==~~Treatment~~==		==Management==
	*Treat underlying disease		*Treat underlying disease
	*O2 if [[Hypoxemia]]		*O2 if [[Hypoxemia]]

Neil.m.young: Text replacement - " pt " to " patient "

2016-07-02T18:04:02Z

Text replacement - " pt " to " patient "

← Older revision		Revision as of 18:04, 2 July 2016
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	*[[Antibiotics]]		*[[Antibiotics]]
	**[[Piperacillin-tazobactam]] 3.375-4.5gm q6hr IV or [[imipenem]] 0.5-1gm q6hr		**[[Piperacillin-tazobactam]] 3.375-4.5gm q6hr IV or [[imipenem]] 0.5-1gm q6hr
	**Consider adding [[vancomycin]] if pt at risk for [[MRSA]]		**Consider adding [[vancomycin]] if patient at risk for [[MRSA]]

	{{Chest tube size table}}		{{Chest tube size table}}

Ostermayer: Text replacement - "Category:Pulm" to "Category:Pulmonary"

2016-03-22T16:12:04Z

Text replacement - "Category:Pulm" to "Category:Pulmonary"

← Older revision		Revision as of 16:12, 22 March 2016
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	[[Category:ID]]		[[Category:ID]]
	[[Category:~~Pulm~~]]		[[Category:Pulmonary]]

← Older revision		Revision as of 22:22, 15 January 2021
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	{{Chest tube size table}}		{{Chest tube size table}}

			==Disposition==
			*Admit

	==See Also==		==See Also==