10 results
Cephalosporin Coverage by Generation - HENPECKS Mnemonic
1st Gen: PEK (Proteus, E. coli, Klebsiella)
2nd Gen: HNPEK (Add
Cephalosporin Coverage ... Ceftazidime: HENPECKS + PsA ... Cefepime: HENPECKS + PSA ... Add MRSA; Lose PSA ... Cephalosporins #Coverage
Antifungal Coverage Activity Antibiogram 

Spectrum of action of systemic antifungal agents. Solid blocks represent species in
Antifungal Coverage ... = micafungin; POSA ... Antifungal #Spectrum #Coverage
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Differential Diagnosis Algorithm ... Liddle syndrome PRA ... aldosteronism #Metabolic ... Differential #Diagnosis #Algorithm
Spectrum of activity for systemic antifungal agents
Antifungals: 5FC, flucytosine; AMB, amphotericin B; ANI, anidulafungin; CAS, caspofungin;
fluconazole; ISA ... pharmacology #spectrum #coverage
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Differential Diagnosis Algorithm ... hyperaldosteronism • High PRA ... syndrome #Primary #Metabolic ... Differential #Diagnosis #Algorithm
Unintentional Weight Loss - History and Workup

Complete Physical Exam - Often overlooked components: Lymph nodes, Mental
labs: CBC, basic metabolic ... CRP, HCV, LFTs, PSA
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... Gas) (-) Likely Metabolic ... Bicarbonate #Elevated #metabolic ... #alkalosis #algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Shock liver • Metabolic ... hepatitis, PBC, PSC ... Malignancy, PBC, PSC ... differential #diagnosis #algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Differential Diagnosis Algorithm ... Liddle syndrome PRA ... aldosterone escape #Metabolic ... Differential #Diagnosis #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ADLs - Highest metabolic ... ASA class If ... event, follow ACC algorithm ... • Screen for OSA