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Pulmology

Discussion in 'Spot Diagnosis' started by dr.angela, Jan 4, 2013.

  1. dr.angela

    dr.angela Bronze Member

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  2. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Bronchopneumonia v.s. pulmonary MTS.
     

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  3. dr.angela

    dr.angela Bronze Member

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    Aspergilosis
     

  4. neo_star

    neo_star Moderator

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    Dear Dr. Angela

    Can you elaborate on this x ray....i.e points in favor of aspergillosis ( becos without a history, it is difficult to call it aspergillosis)

    A history of long standing asthma which has suddenly become refractory and is associated with fever, cough and black or grey sputum would make one think and look for bronchiectasis or a gloved finger sign ( finger-like projections from hilum from bronchial mucoid impaction in allergic bronchopulmonary aspergillosis or asthma )..see image below and atelectacis in the parenchyma supplied by the affected bronchi.

    [​IMG]

    Or a history of cavitory disease like TB would encourage one to look for fungal mass ( see image below )

    [​IMG]
     

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