2nd INPATIENT, Clinic A/P, adults, Hospital A/P, Adults
Acute Hepatic Encephalopathy 2/2 to ________ Symptoms caused by a failure of liver to detoxify NH3 and other substances that cause cerebral edema and/or act as false neurotransmitters (GABA-like) Precipitating causes evaluated. PE: Asterixis present? Pt has hepatic...
2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
#Cellulitis r/o Osteomyelitis, condition, stable. The most common cause is strep or staph. H&P performed. Probed to bone? At ___cm? Labs: Imaging: CXR shows _____; MRI ____ Admit to Med/Surg Treatment Vancomycin + Zosyn. Elevate extremity. F/u BCx. Consult...
2nd INPATIENT, ACID-BASE DISTURBANCES, Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE
Note: With oxygen delivery methods, it’s really about how much FIO2 can be delivered, not really the flow rate in liters. Related article: Fraction of Inspired Oxygen (FiO2). Method FIO2 and Flow Rates Indications Comments First-Line Options Standard nasal...
2nd INPATIENT, Clinic A/P, adults, Hospital A/P, Adults
#Diverticulitis of the large intestine without perforation or abscess and without bleeding H&P. LLQ pain… Risk factors: DDx / Etiology Labs/Imaging: CT abd, BCx, CBC, CMP, Lipase Treatment Inpatient tx Admit pt to Med-Surg floor. IVFs, NPO, NGT if needed....
2nd INPATIENT, PULMONARY & CRITICAL CARE
Related article: Oxygen Delivery Methods I just spoke with a respiratory therapist who taught me the following rules for estimating FiO2. I verified and the information is true. For a patient on NC, to determine the FiO2, you multiply the number of liters by 4% and...
2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
The preoperative history and physical exam have been performed (above) and the risk of major adverse cardiac events (MACE) is estimated below. That risk depends on 1) the risk of the proposed surgery and 2) the patient’s risk and functional capacity. Risk...
