Sandbox:Aditya: Difference between revisions

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__NOTOC__
==Classification==
==Classification==
===Based on duration===
===Based on duration===
*'''Acute'''   
*'''Acute'''  If symptoms are present for less than 6 weeks before presenting to medical care
**If symptoms are present for less than 6 weeks before presenting to medical care
*'''Chronic''' If symptoms persist for more than 6 weeks
*'''Chronic'''  
** If symptoms persist for more than 6 weeks
===Based on Etiology===
===Based on Etiology===
===='''Primary'''====
'''Primary''' When Abscess develops among patients who were healthy previously or with high risk factors such as those prone for aspiration
When Abscess develops among patients who were healthy previously or with high risk factors such as those prone for aspiration
*Aspiration of oropharyngeal secretions  
*Aspiration of oropharyngeal secretions  
*Immunodeficiency conditions like HIV
*Immunodeficiency conditions like HIV
*Necrotizing pneumonitis
*Necrotizing pneumonitis
===='''Secondary'''====
'''Secondary''' When abscess develops among patients with an underlying lung abnormality
When abscess develops among patients due to  other associated medical conditions
*Bronchial obstruction  
*Bronchial obstruction  
*Hematogenic dissemination  
*Hematogenic dissemination  
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===Based on mode of spread===
===Based on mode of spread===
*'''Bronchiogenic'''
'''Bronchiogenic'''
**Aspiration of Oropharyngeal secretions
*Aspiration of Oropharyngeal secretions
**Bronchial obstruction by Tumor  
*Bronchial obstruction by Tumor  
**Foreign body, Congenital Malformations and Enlarged LymphNodes  
*Foreign body, Congenital Malformations and Enlarged LymphNodes  
*'''Hematogenic'''  
'''Hematogenic'''  
**Infective endocarditis
*Infective endocarditis
**Abdominal Sepsis
*Abdominal Sepsis
**Septic Thromboembolisim
*Septic Thromboembolism
 
==Risk Factors==
Common risk factors in the development of lung abscess are
===Common Risk Factors===
*Elderly( age >65)
*Alcoholism
*Artificial ventilation
*Coma
*Neuromususcular disorders with bulbar disfunction
*Convulsions
*Inability to cough
*Bronchial obstruction
 
===Less Common Risk factors===
*Drug abuse
*Dental/peridental infections
*Malnutrition
*Therapy with corticosteroids
*Cryostatic's or immunosuppressants
*Mental retardation
*Gastroesophageal reflux disease

Revision as of 16:57, 23 January 2017

Classification

Based on duration

  • Acute If symptoms are present for less than 6 weeks before presenting to medical care
  • Chronic If symptoms persist for more than 6 weeks

Based on Etiology

Primary When Abscess develops among patients who were healthy previously or with high risk factors such as those prone for aspiration

  • Aspiration of oropharyngeal secretions
  • Immunodeficiency conditions like HIV
  • Necrotizing pneumonitis

Secondary When abscess develops among patients with an underlying lung abnormality

  • Bronchial obstruction
  • Hematogenic dissemination
  • Infection spread from mediastinum
  • Coexisting Lung Diseases

Based on mode of spread

Bronchiogenic

  • Aspiration of Oropharyngeal secretions
  • Bronchial obstruction by Tumor
  • Foreign body, Congenital Malformations and Enlarged LymphNodes

Hematogenic

  • Infective endocarditis
  • Abdominal Sepsis
  • Septic Thromboembolism

Risk Factors

Common risk factors in the development of lung abscess are

Common Risk Factors

  • Elderly( age >65)
  • Alcoholism
  • Artificial ventilation
  • Coma
  • Neuromususcular disorders with bulbar disfunction
  • Convulsions
  • Inability to cough
  • Bronchial obstruction

Less Common Risk factors

  • Drug abuse
  • Dental/peridental infections
  • Malnutrition
  • Therapy with corticosteroids
  • Cryostatic's or immunosuppressants
  • Mental retardation
  • Gastroesophageal reflux disease