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stratification antibiotics febrile infant lp pediatrics stepbystep afib apml atrial brain cardiomyopathy clinical cop crypto cryptococcal cryptogenic differentiation ebm evaluation
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... Procalcitonin <0.5 ng/mL ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Triggers: ATRA treatment ... Attempt if high risk ... Subacute-Acute: • Common: fever ... Imaging: CXR- pulmonary ... #management #hematology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
The Febrile Infant Step-by-Step Algorithm This is an algorithm developed by European emergency physicians to identify low-risk
empiric antibiotic treatment ... 92.0% and 46.9% #Diagnosis ... #EBM #Management ... #Pediatrics #Peds ... Stratification #Fever
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... teratogenic GDMT meds ... #management #cardiology ... #treatment
Cryptogenic Organizing Pneumonia - Illness Script PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
Cough, dyspnea, fever ... + path w/ organizing ... identified (autoimmune, meds ... , neoplastic) TREATMENT ... #management #pulmonary
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... cardiovascular risk ... Fibrillation #AFib #diagnosis ... #management #cardiology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... MUCORMYCOSIS • Risk ... Encapsulated yeast • At risk ... • Isolated fever ... #Management #Infections
Cryptococcal meningitis on T2 MRI 30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... of prior silent pulmonary ... are common but fever ... half. absence of fever ... Standard treatment
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