15 results
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
severe community-onset ... pneumonia Atypical ... Consider two grams IV ... piperacillin-tazobactam Septic Shock ... #Acquired #Pneumonia
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... CAP present in 1 ... criteria: Septic shock ... #Acquired #Pneumonia ... #severe #psi #diagnosis
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... CAP present in 1 ... responsive to IV ... #Acquired #Pneumonia ... #diagnosis #signs
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Toxic Megacolon, Shock ... Epidemiology: • #1 ... post-ABx, but can be community-acquired ... Ileus, Megacolon, Shock ... x 1 - Adjunct Tx
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Community water-borne ... HIV infection or ... Consider empiric antibiotic ... Hospitalization required ... algorithm #workup #diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... Egophony (May appear 1- ... 96.1% • Empiric antibiotic ... Management #treatment #Pulmonary ... #Community #Acquired
Macrolides - Erythromycin, Clarithromycin, Azithromycin - Antibiotics Class Overview

50S Ribosomal Inhibitor (PO and IV)
Spectrum: Atypical organisms
Azithromycin - Antibiotics ... exacerbations, community-acquired ... pneumonia, sinusitis ... prophylaxis in HIV ... patients with CD4
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode
blastomycosis – resembles community-acquired ... pneumonia with ... blastomycosis • Diagnosis ... Amphotericin B for 1- ... #Blastomyces #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
cause: Aspiration pneumonia ... for Klebsiella pneumonia ... Pathophysiology: 1. ... Pneumonia • Anaerobic ... Lung #Abscess #pulmonary
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Affects 1:25,000 ... and 1:50,000 patients ... frequent and severe community-acquired ... infections: Pneumonia ... Epstein-Barr syndrome, HIV