-Fungal culture: From lung, tissue or blood
-Fungal stain: Used primarily for Histoplasmosis capsulatum
-Visualization of sphericles (Coccidioidomycosis) CLINICALMANIFESTATIONS:
-Restrictive lung disease caused by alveolar consolidation andfibrotic changes -Increased resp. rate, heart rate and bloodpressure -Chest pain with deep inhalation
-Cyanosis -Digital clubbing if chronic
-Cough with or without purulent sputum and hempoptysis
-Breath sounds:
-Bronchial -Crackles, wheezes, rhonchi -PFT’s:
-Most remarkable for restrictive changes
– decreased lung volume and capacity
-Arterial Blood Gases: -Moderate: Partially compensatedrespiratory alkalosis
-Severe: Compensated respiratory acidosis
-Increased QS/QT
-Chest x-ray:
-Increased opacity
-Cavity formation
-Fibrotic changes
-Cor pulmonale MANAGEMENT/TREATMENT:
-Pharmacological: Amphotericin B (Anti-fungal)
-Oxygen -Bronchial hygiene for excessive pulmonarysecretions
-Hyperinflation therapy -Mechanical ventilation
it has to be 5 pages with 5 references from professionalwebsites,
1.introduction
2.anatomic alternation of the lung
3.ethiology
4.diagnosis and screening
5.cardiopulmonary and clinical maifestations
6.management and treatment
7.conclusion
almost each one should have one page
