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Critical care clinics · Jul 2001
ReviewEvaluation of pulmonary infiltrates in critically ill patients with cancer and marrow transplant.
- P White.
- Division of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, and McClellan Memorial Veterans Hospital, Little Rock, Arkansas, USA. whitepeter@exchange.uams.edu
- Crit Care Clin. 2001 Jul 1; 17 (3): 647-70.
AbstractPulmonary infiltrates in critically ill patients with cancer or marrow transplant can be evaluated by the differential diagnosis presented at the beginning of this article. The patient's quantitative immune system dysfunction, epidemiologic history and chest radiographic findings (pattern, rapidity, and time of onset) will help focus the differential diagnosis. In this patient population, however, common diagnoses can have atypical presentations, unusual diagnoses do occur, and more than one process may be responsible for a patient's infiltrates. Early bronchoscopy to rule out infection is the focus of diagnostic testing. Surgical lung biopsy in this patient population has a low yield.
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