Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
β€’ Treatment includes ... #Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
Pathophysiology: ... Management: β€’ Empiric antibiotics ... data β€’ Early treatment ... pyelonephritis CMC
IDSA Recommendations for Treating Isospora belli Infection in HIV-AIDS
Treating Isospora belli Infection
General Management Considerations:
 β€’ Fluid
Patients with CD4 ... times weekly (AI ... Sustained increase in CD4 ... IDSA #Prevention #Treatment ... infections #HIVAIDS #pharmacology
Macrolides - Erythromycin, Clarithromycin, Azithromycin - Antibiotics Class Overview

50S Ribosomal Inhibitor (PO and IV)
Spectrum: Atypical organisms
Azithromycin - Antibiotics ... Used for MAC treatment ... patients with CD4 ... #Pharmacology #Antibiotics
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
Prophylaxis: β€’ CD4 ... Prophylaxis: β€’ CD4 ... Prophylaxis: β€’ CD4 ... IDSA #Prevention #Treatment ... infections #HIVAIDS #pharmacology
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
Prophylaxis: β€’ CD4 ... mg/kg IV daily (AI ... least 12 months (AII ... IDSA #Prevention #Treatment ... infections #HIVAIDS #pharmacology
IDSA Recommendations for Treating Bartonella Infections in HIV-AIDS
Preferred Therapy
For Bacillary Angiomatosis, Peliosis Hepatis, Bacteremia, and Osteomyelitis:
PO or IV q12h (AII ... course of primary treatment ... as long as the CD4 ... IDSA #Prevention #Treatment ... infections #HIVAIDS #pharmacology
IDSA Recommendations for Preventing and Treating Varicella Zoster Virus (VZV) Infections in HIV-AIDS
Pre-Exposure Prevention of VZV
patients with CD4 ... vaccine virus, treatment ... varicella vaccine Treatment ... 500 mg PO TID (AII ... infections #HIVAIDS #pharmacology
IDSA Recommendations for Treating Coccidiodomycosis in HIV-AIDS
Treating Mild Infections (Such As Focal Pneumonia or asymptomatic patients
positive serology and CD4 ... mg/kg IV daily (AII ... IDSA #Prevention #Treatment ... infections #HIVAIDS #pharmacology
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
DO NOT bolus 30 cc ... Antibiotics - ... suspected Adiunctive treatments ... ml/min without AKI