72 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
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... in 1 major criterion ... criteria: Septic shock ... #Community #Acquired ... #severe #psi #diagnosis
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... in 1 major criterion ... criteria: Septic shock ... #Community #Acquired ... #Pneumonia #diagnosis
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 ... Consider if: 1) ... no respiratory cause ... Pulmonary edema, Shock ... #management #Treatment
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... - Diagnosis and ... Egophony (May appear 1- ... #Diagnosis #Management ... #Community #Acquired
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... 50% in nec fasc Diagnostic ... necrosis STSS Treatment ... IVIG 1g/kg on day 1, ... #management #diagnosis
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode
- Sporadic cases ... blastomycosis – resembles community-acquired ... • Management ... Amphotericin B for 1- ... #management #summary
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