8 results
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Likelihood Ratio Step 1: ... Clinical Indication ... & Specificity Assess ... assign a final post-test ... #ultrasound #management
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... Point of Care Ultrasound ... #POCUS #SBP #clinical ... #ultrasound #abdominal ... #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
signs (fever, abdominal ... ↓ rebleeding, infections ... dL and advanced liver ... SBP #diagnosis #management ... #prophylaxis #treatment
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
GrepMed Handbook Clinical ... Epidemiology: • #1 ... up to 10w post-ABx ... continue Tx for 7d post-Abx ... 10 mg/kg IV x 1
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... GH stimulates liver ... peripheral (bronchial/abdominal ... adjuvant Tx, or post-op ... Endocrinology #Treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... Change in clinical ... they have one post ... undergoing AAA or upper abdominal ... medical and surgical management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... forms: 1) Rhinocerebral ... Pulmonary 3) Abdominal ... Sinusitis • Brain abscess ... Fungal #Diagnosis #Management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... function tests - Ultrasound ... opportunistic infection ... 600 mg PO/IV q 1 ... 2hr if post-flu