7 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Pneumonia and sinusitis ... Sinusitis uncommon ... rales on exam 3) Meningitis ... Meningitis suggested ... #Peds #EM #Classification
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
CAP, Bacterial meningitis ... Important cause of sinusitis ... Diagnosis: • Physical ... #microbiology #diagnosis ... #management
IDSA Clinical Practice Guideline for Acute Bacterial Rhinosinusitis
Algorithm for the management of acute bacterial rhinosinusitis.
IDSA Clinical Practice ... Algorithm for the management ... antibiotics-for-clinically-diagnosed-acute-sinusitis ... /) #Diagnosis ... #Management #IDSA
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... - septicaemia/meningitis ... Coma #Pediatrics #Peds ... #CriticalCare #Diagnosis
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... miss MDR bugs) MEDS ... overdose of home meds ... is never a bad idea ... Pearls #Checklist #diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary, systemic or meningitic ... Pulmonary (60%) • Sinusitis ... infection (~40%) • Meningitis ... Invasive Disease: • Meningitis ... #Management #Infections
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
a late sign of meningitis ... When the diagnosis ... Newborn #Infant #PhysicalExam ... #Examination #Peds ... #Pediatrics #Diagnosis