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CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the
CAP, HCAP, HAP and ... VAP - Diagnosis ... with pneumonia HAP ... & VAP – those that ... #HCAP #HAP #VAP
Pneumonia - Causative Organisms
 • CAP - Typical, Atypical, Endemic
 • Aspiration
 • Decreased Immunity
 •
Organisms • CAP ... • Hospital - HAP ... , VAP - CMC IM ... #microbiology #differential
Antibiotic Stewardship: Shorter is Better 
CAP 
HAP 
VAP 
Intra-abd 
Gram Neg Bacteremia 
AECB 
Cellulitis 
Osteo 
Septic
Shorter is Better CAP ... HAP VAP Intra-abd
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
raised ICP: MAP ... raised ICP: MAP ... >70-90, MAP>65) ... Neurogenic Shock MAP ... raised ICP: MAP
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Framework - MAP ... SBP <90, drop in ... Treatment Goals: 1) MAP ... Sophia_Hayes_MD #Shock #Differential
Heart Pressures - Reference Cheat Sheet
Formula Review Guide for Heart pressure American Society of Echocardiography
Atrial Pressure (RAP ... Artery Pressure (mPAP ... Atrial Pressure (LAP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
• PH (mean PAP ... - dPAP) / RAP ... RAP/PCWP RATIO ... RESISTANCE = [(MAP ... OUTPUT (CPO) = (MAP
Inherited Colorectal Cancer (CRS) Syndromes
Adenomatous Polyposis Syndromes:
 • Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH
Adenomatous Polyposis (FAP ... ), Attenuated FAP ... associated polyposis (MAP
Causes of Metabolic Acidosis - Gap and Non-Gap - Differential Diagnosis Algorithm
 • Elevated Anion Gap
Metabolic Acidosis - Gap ... and Non-Gap - Differential ... Elevated Anion Gap ... • Normal Anion Gap ... NonGap #Nephrology #Differential
Mean arterial pressure (MAP)

A common method used to estimate the MAP is the following formula:
* MAP
arterial pressure (MAP ... to estimate the MAP ...  DP) or * MAP ... If MAP drops below ... If the MAP drops