11 results
Validation of the Step-By-Step Approach to Febrile Infants

#Diagnosis #Management #Pediatrics #Peds #Febrile #Infant #StepByStep #Algorithm #LP
#Diagnosis #Management ... #Pediatrics #Peds ... StepByStep #Algorithm #LP ... #Antibiotics #Risk ... Stratification #Fever
“Step by Step” – the new kid on the block – aims to risk stratify this
an infant with fever ... #Diagnosis #Management ... #Pediatrics #Peds ... StepByStep #Algorithm #LP ... Stratification #Fever
Intern Pocket Cards - Daily Rounding and Disposition Checklist
Daily Checklist:
 • FEN/GI:
Daily Checklist ... review all IV meds ... prophylaxis Indications ... Insurance for meds ... #management #inpatient
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... spleen, brain) Indications ... • Persistent fever ... #Endocarditis #checklist
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality BPAP - Bi-Level ... exacerbation (cardiogenic pulmonary ... Pt is DNI with indication ... facial hair) • Risk ... #criticalcare #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... the type of and indication ... days before Pulmonary ... medical and surgical management
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
to identify low-risk ... Diagnosis #EBM #Management ... #Pediatrics #Peds ... StepByStep #Algorithm #LP ... Stratification #Fever
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... : Testing EGD indications ... three or more risk ... Disease #diagnosis #management ... #Gastroenterology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... cardiovascular risk ... Testing: • TSH level ... Absolute warfarin indications ... AFib #diagnosis #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Patient s/p liver ... infection and high risk ... Endoscopy #EGD #Indications ... #Gastroenterology ... #Management