23 results
CAP, HCAP, HAP and VAP - Diagnosis and Treatment

HCAP & CAP – those presenting to the
VAP - Diagnosis ... and Treatment ... #Pneumonia #Acquired ... #Community #Diagnosis ... #Management #Treatment
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
piperacillin-tazobactam Septic Shock ... only in selected cases ... #Acquired #Pneumonia ... #CAP #Antibiotics ... #Coverage #Management
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Toxic Megacolon, Shock ... Perforation) Pathophysiology ... post-ABx, but can ... be community-acquired ... #management #treatment
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... Pulmonary edema, Shock ... Toxicity #Toxicology #diagnosis ... #management #Treatment
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... - Diagnosis and ... Management Pneumonia ... #Diagnosis #Management ... #Community #Acquired
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
blockade S - Shock ... • Aggressive treatment ... saline) • If on a Ca2 ... BRASH #Syndrome #diagnosis ... #management #pathophysiology
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode
- Sporadic cases ... blastomycosis – resembles community-acquired ... • Management ... #Blastomyces #diagnosis ... #management #summary
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Lymphohistiocytosis (HLH) Pathophysiology ... Purtilo (XLP) Acquired ... Drugs, Unknown cause ... Treatment: • ... #management #treatment
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... syndrome. 3% saline can ... with DDAVP may be required ... #Differential #Diagnosis ... #Treatment #management
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
-> 40 years • Can ... frequent and severe community-acquired ... and M panel Management ... DDX - Other causes ... #management