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Abnormal Laboratory Tests and Procedures - Lungs Abscess - Dr. Sheetu Singh

Know About Abnormal Laboratory Tests and Procedures and Lungs Abscess from Dr. Sheetu Singh Top Pulmonologist in Jaipur

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Abnormal Laboratory Tests and Procedures - Lungs Abscess - Dr. Sheetu Singh

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  1. Arterial blood gas analysis Mild to moderate Severe

  2. Time and Progression of Disease Disease Onset Alveolar Hyperventilation 100 90 Point at which PaO2 declines enough to stimulate peripheral oxygen receptors 80 70 60 PaO2 PaO2 or PaCO2 50 40 30 PaCO2 20 10 0 Figure 4-2. PaO2 and PaC02 trends during acute alveolar hyperventilation.

  3. Time and Progression of Disease Disease Onset Alveolar Hyperventilation Acute Ventilatory Failure 100 Point at which disease becomes severe and patient begins to become fatigued 90 Point at which PaO2 declines enough to stimulate peripheral oxygen receptors 80 70 PaCO2 Pa02 or PaC02 60 50 40 30 PaO2 20 10 0 Figure 4-7. PaO2 and PaCO2 trends during acute ventilatory failure.

  4. Abnormal Laboratory Testsand Procedures Cell count – raised TLC with neutrophilic preponderance Liver function test – may be deranged in cases of alcoholics ESR – raised in patients with tuberculosis Blood sugar random – raised in cases of diabetes mellitus

  5. Abnormal Laboratory Testsand Procedures Sputum examination – GRAM STAIN & PYOGENIC CULTURE • Gram-positive organism • Streptococcus • Anaerobic organisms • Peptococcus • Peptostreptococcus • Bacteroides • Fusobacterium

  6. Abnormal Laboratory Testsand Procedures • Syringe – closed aspiration • Bronchoscopy – protected specimen brush samples • Blood culture

  7. Abnormal Laboratory Testsand Procedures Empyema (defined in the preceding) • >25,000 white blood cells per milliliter. Parapneumoniceffusions will generally have lower • white blood counts, negative Gram’s stains and cultures, a pH over 7.3, and glucose over 50 percent of serum glucose levels.

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