Volvulus

Hospital A/P, Adults

#Volvulus, sigmoid colon Pert hx: Hx of multiple abdominal surgeries to repair a ventral incisional hernia. Hx of partial colectomy. Elderly pt. Hx of chronic constipation.  CC:  4-week hx of non-bloody diarrhea and colicky type abdominal pain. Pert PE: Pert labs:...

Legionella Pneumophila

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

The following is a sample question and explanation from the ABFM that explains the presentation of Legionella Pneumophilla “Legionella should be considered as a pathogen for community-acquired pneumonia when the patient has a history of a hotel stay or cruise...

Transudate vs. Exudate

Hospital A/P, Adults, HOSPITAL MEDICINE

Transudate – fluid created as a result of changes in hydrostatic pressure. E.g. Cirrhosis, Heart Failure, Nephrotic Syndrome, Superior Vena Cava Obstruction. Here, only fluid moves from the intravascular space into the extravascular space. There is no...

Suppurative (Purulent) Cellulitis

Hospital A/P, Adults

Definition: Cellulitis with purulent drainage or exudates but without a  drainable abscess. Usually caused by S. aureus (MSSA and MRSA). Severity: *Mild / Moderate to Severe H&P performed. Labs: Imaging/Studies: Treatment: -Parenteral (Moderate to Severe):...

Osteomyelitis: Cellulitis r/o Osteomyelitis

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...

Oxygen Delivery Methods

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...