26 results
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection (CDI ... Toxic Megacolon, Shock ... Perforation) Pathophysiology ... post-ABx, but can ... be community-acquired
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Disease by CD4 ... Count: Any CD4 ... Seasonal influenza CD4 ... Blastomycosis CD4
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... criteria: Septic shock ... responsive to IV ... #Community #Acquired ... #severe #psi #diagnosis
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
Pneumocystis jirovecii Pneumonia ... Immunocompromised host (HIV ... ) • Seen in HIV ... patients with CD4 ... #Diagnosis #Management
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Diagnosis: ... legionella/strep, HIV ... DDX: • CAP, ... #ILD #diagnosis ... #management
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... Pneumonia - Presenting ... criteria: Septic shock ... responsive to IV ... #Pneumonia #diagnosis
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
Consider two grams IV ... piperacillin-tazobactam Septic Shock ... #Community #Acquired ... #Pneumonia #CAP ... Antibiotics #Coverage #Management
IDSA Recommendations for Preventing and Treating Bacterial Enteric Infections in HIV-AIDS
Preventing Bacterial Enteric Illness:
 • Antimicrobial
Infections in HIV-AIDS ... fluoroquinolones or rifaximin can ... against Pneumocystis pneumonia ... difficile Infection (CDI ... Prevention #Treatment #management
IDSA Recommendations for Prevention and Treatment of Pneumocystis Pneumonia (PCP) in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
of Pneumocystis Pneumonia ... Prophylaxis: • CD4 ... response to ART • Can ... #Pneumocystis #Pneumonia ... infections #HIVAIDS #management
BRASH Syndrome

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

Typical ECG
blockade S - Shock ... hypovolemic, give IV ... saline) • If on a Ca2 ... BRASH #Syndrome #diagnosis ... #management #pathophysiology