Infant UTI Algorithm (<8 weeks of age) Emergency Medicine Cases @EMCases #Infant #Pediatric #UTI #Algorithm #Diagnosis #Management #UrinaryTractInfection #Peds

Pediatric UTI Algorithm (2-24 months of age) Risk stratify with UTI Calc: - Age months - Maximum temperature 239 - Not self described race as black - Female or uncircumcised male - No other fever source identified Emergency Medicine Cases @EMCases #Pediatric #UTI #Algorithm #Diagnosis #Management #UrinaryTractInfection #Peds #Risk #Stratification

Approach to managing Glomerulonephritis (GN) in children. ANCA, antineutrophil cytoplasmic antibodies; c-ANCA, cytoplasmic antineutrophil cytoplasmic antibodies; GBM, glomerular basement membrane; HTN, hypertension; p-ANCA, perinuclear antineutrophil cytoplasmic antibodies; SLE, systemic lupus erythematosus. #Glomerulonephritis #Algorithm #Nephrology #Peds #Pediatrics

ABCDE of Primary ASCVD Prevention: Lifestyle Changes and Team-Based Care - Checklist A – Antiplatelet Therapy B – Blood Pressure C – Cholesterol C – Cigarette Smoking D – Diabetes D – Diet and Weight E – Exercise E – Economic and Social Factors #ABCDE #PrimaryPrevention #PrimaryCare #ASCVD #Cardiovascular #Management #Cardiology #Mnemonic #Checklist #ABCs #ACCAHA

ABCDE of Primary Prevention: Lifestyle Changes and Team-Based Care - Checklist A – Antiplatelet Therapy B – Blood Pressure C – Cholesterol C – Cigarette Smoking D – Diabetes D – Diet and Weight E – Exercise E – Economic and Social Factors #ABCDE #PrimaryPrevention #PrimaryCare #ASCVD #Cardiovascular #Management #Cardiology #Mnemonic #Checklist #ABCs #ACCAHA

One Pill Kills - Those that can be fatal even after just ingesting a small amount 1) CALCIUM CHANNEL BLOCKERS Cause delayed onset bradycardia, hypotension, conduction defects. They can also block insulin secretion. 2) TRICYCLIC ANTIDEPRESSANTS Block fast sodium channels leading to intraventricular conduction delay and seizures. 3) CHLOROQUINES Cause cardiac arrhythmias (QRS widening) and cinchoism. 4) OPIATES Cause coma and respiratory depression 5) SULFONYLUREAS Cause hypoglycaemia due to stimulation of insulin production. 6) BETA BLOCKERS Cause hypoglycemia due to blockage of glycogenolysis. 7) THEOPHYLLINE Cause seizures and SVT. 8) AMPHETAMINES Cause agitation, confusion, hyperthermia, and hypertension. Dr. Tessa Davis https://twitter.com/TessaRDavis #OnePill #Kills #Fatal #Pharmacology #Peds #Pediatrics #Toxicology #Lethal #List

CDC Recommended Adult Immunization Schedule by Medical Condition and Other Indications #Adult #Immunization #Schedule #2019 #Vaccines #Vaccination #Timeline #Special #Conditions #Immunocompromised #Immune #PrimaryCare

CDC Recommended Adult Immunization Schedule, United States, 2019 #Adult #Immunization #Schedule #2019 #Vaccines #Vaccination #Timeline #PrimaryCare

Clinic, Home, and Ambulatory Blood Pressure Measurements - Strengths and Weaknesses (via https://twitter.com/JACCJournals/status/1088104323354185730 ) Clinic Measurements: • BP measured in a medical setting • Patient should be seated, resting quietly with their back supported and feet flat on the floor • Associated with cardiovascular outcomes • Only method that has been used to guide treatment in large outcome trials • Less precise as only 1 or 2 BP measurements typically obtained • Many factors affect the accuracy of readings • Requires training and frequent re-training of staff Home BP Monitoring: • BP measured while seated at home, resting quietly with back supported and feet flat on the floor • BP readings obtained in the morning and evening • Strong association with cardiovascular outcomes • Detects white coat and masked hypertension • Patients may not correctly measure and report their BP • Requires patient training and re-training Ambulatory BP Monitoring: • BP measured during routine activities • 48 to 72 readings obtained over 24 hours • Strong association with cardiovascular outcomes • Detects white coat and masked hypertension • BP measured at work and at night (i.e., during sleep) • Not tolerated by some patients • Equipment is not widely available • Requires two clinic visits: to set up and return the device #BloodPressure #Monitoring #Clinic #Home #Ambulatory #Management #PrimaryCare #Comparison #Strategies

A decision aid for people considering lung cancer screening with low-dose computed tomography The USPSTF recommends lung cancer screening for individuals who: - Are 55 to 80 years old - Do not have any signs or symptoms of lung cancer (diagnostic testing may be recommended for people who do have signs or symptoms of lung cancer) - Have not had lung cancer before - Currently smoke or quit less than 15 years ago - Are or were heavy smokers (30 pack-years history such as those who smoked 1 pack per day for 30 years or 2 packs per day for 15 years) BENEFIT: Greater chance of not dying from lung cancer - If 1,000 people are not screened with LDCT for lung cancer, 21 will die from lung cancer. - If 1,000 people are screened with LDCT once a year for 3 years, 18 will die from lung cancer. - This means that with LDCT screening, 3 fewer people will die from lung cancer. HARM: A false alarm happens when a person has a positive screening test but does not actually have lung cancer. - If 1,000 people are screened every year for 3 years, about 356 will have a false alarm. - Of these 356 people with a false alarm, 18 will have an invasive procedure such as a biopsy (a tiny piece of lung tissue is removed to test for cancer). - Of these 18 people, less than 1 will have a major complication as a result of the procedure, such as bleeding in the lung, a collapsed lung, or an infection. #LungCancer #Screening #Criteria #ChestCT #PrimaryCare #DecisionAid #LDCT