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differential evaluation causes cd4 chronic cough emergencies fuo hemeonc hivaids oncologic oncology origin perioperative preop preoperative risk stratification unknown
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Flags: • Fever ... sweats, chills (infection ... lung disease or CHF ... ) • Abnormal CXR ... refer + order CT
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... +/- High res CT ... chest scan), CBC ... Cryptococcal Ag, Urine ... #workup #diagnosis
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
for Workup of Fever ... panel • Blood & urine ... ESR, +/- CRP • CT ... Additional tests for infection ... #diagnosis
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... disease b) CHF ... event, follow ACC algorithm ... change CV risk Chest ... stratification #diagnosis
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