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Table 3. Suggested Empiric Treatment Options for Clinically Suspected Ventilator-Associated Pneumonia in Units Where Empiric Methicillin-Resistant
Table 3. ... Suggested Empiric Treatment ... Antipseudomonal/Gram-Negative
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
disease) - May be negative ... HLA-DQ8 - High negative ... Reflects response to treatment ... Tests #Diagnosis #Workup ... #Table
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
endoscopy only if: • Negative ... Gastrointestinal #Evaluation #workup ... #diagnosis #gastroenterology
Gastrointestinal Stromal Tumor (GIST)
Most prevalent intramural gastric tumor
Arises from interstitial cells Of (EUS layer 4)
Has higher
Smooth muscle actin negative ... , Vimentin negative ... , S100 = negative ... High-risk Gastric GIST Treatment ... Tumor #diagnosis #gastroenterology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Susceptibilities, Negative ... Additional metastatic workup ... #candidiasis #treatment
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... • Immunologic Workup ... pANCA anti-MPO - Negative ... life-threatening • Treatment ... sle #comparison #table
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... PPI failure + negative ... Nonpharmacologic Treatment ... of bed GERD Treatment ... diagnosis #management #Gastroenterology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
• Immunologic Workup ... pANCA anti-MPO - Negative ... life-threatening • Treatment
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
• Some false negative ... with response to treatment ... IgG4+ cells" Treatment ... management #phenotypes #workup ... #treatment #rheumatology
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
viral arthritis Workup ... arthritis diagnosis Treatment ... staphylococcus, gram negative ... patient admitted for treatment