61 results
Discharge Dispositions for Patients
Subacute Rehabilitation in Skilled Nursing Facilities 
Long-Term Care Facility or Nursing Home
Assisted Living
options #management #SNF
Intern Pocket Cards - Increasing Levels of Care

 • Intensive Care Unit (ICU)
 • Intermediate Care/Step-Down
Nursing Facility (SNF
Medicare Cheat Sheet: Original Medicare & Medicare Advantage
Part A:
 • INPATIENT Hospital (NOT ER or Observation)
Observation) • SNF
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
hospitalization to SNF
The biotrauma hypothesis of ventilator-induced lung injury. IL = interleukin; PEEP = positive end-expiratory pressure; Pplat
plateau pressure; TNF
TNF-alpha Inhibitors

Dr. Ann Marie Kumfer @AnnKumfer

#TNFalpha #Inhibitors #Diagnosis #Differential #Indications
TNF-alpha Inhibitors
Behcet's Syndrome - Treatment
Ulcers:
 • Treatment: Topical steroids
 • Prevention: Colchicine
 • Azathioprine for refractory disease
Arthritis:
Azathioprine and/or TNF-α ... azathioprine • TNF
Fig. 1 Pathophysiology of septic myocardial dysfunction. IL interleukin, iNOS induced nitric oxide synthase, PMN polymorphonuclear
polymorphonuclear cell, TNF
Hypothermia in Sepsis - Pathophysiology
 • 20% of septic pts → HYPOTHERMIA
 • Increased mortality 62%
proinflammatory cytokines ↓TNF
Anaphylaxis: Pathogenesis
Anaphylaxis is a Type 1 hypersensitivity reaction
While the primary mechanism of anaphylaxis is mast cell
PAF, tryptase, TNF