Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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Findings in Cerebrospinal Fluid in Different Causes of Meningitis

#CSF #Fluid #Analysis #Interpretation #Meningitis #Normal #Bacterial #Viral
#CSF #Fluid #Analysis ... Interpretation #Meningitis #Normal ... Bacterial #Viral #Comparison
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Bandemia Overview Normal ... • Abnormal temperature ... bacteremia • Abnormal ... shock, 33% had normal ... count on initial evaluation
Algorithm for Investigation of Abnormal Coagulation Tests
- Prolonged PT
- Prolonged aPTT and Prolonged PT
- Prolonged aPTT

Dr.
Algorithm for Investigation ... of Abnormal Coagulation ... DrEricStrong #Algorithm ... #Coagulation #Abnormal
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... *Abnormal USS may ... #LFTs #Abnormal
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
initially requires an evaluation ... such as blood analysis ... #Differences #Algorithm
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
hallucinations CSF Analysis ... Mildly decreased/Normal ... glucose level, • Normal ... CSF Analysis: ... <40 mg/dL • Normal
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
hypertension 1 A Abnormal ... CHADS2VASc #HASBLED #Comparison
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... neuroexam - Oral ... event, follow ACC algorithm ... perioperative #Risk #Evaluation
USMLE Epidemiology and Biostatistics Summary
Meta-Analysis: pools data from several studies (greater power), limited by quality/bias of
Summary Meta-Analysis ... incidence in acute dz Normal