Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Pulmonary Abscess / Anaerobic Pulmonary Infection Antibiotics that work: Clindamycin is the standard treatment of an anaerobic lung infection Clindamycin 600 mg IV q8h followed by Clindamycin 150-300 mg PO qid. Ampicillin plus sulbactam is as effective as Clindamycin...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
“The rationale for inclusion of the HCAP designation with the HAP/VAP guidelines in 2005 was that patients with HCAP were thought to be at high risk for MDR organisms by virtue of their contact with the healthcare system. Therefore, due to both the patients’...
Clinic A/P, adults, Hospital A/P, Adults
-Definition: VAP is defined as pneumonia occurring >48 hours after endotracheal intubation. -Organisms to cover: S. aureus, Pseudomonas aeruginosa, and other gram-negative bacilli should be covered in all empiric regimens. Cover MRSA if 1) the patient is being...
Clinic A/P, adults, Hospital A/P, Adults
-HAP is defined as pneumonia not incubating at the time of hospital admission and occurring 48 hours or more after admission. -Organisms to cover: MRSA and Pseudomonas. -Treatment length: Treatment length: 7 days of antibiotics rather than a longer duration....
Clinic A/P, adults, Hospital A/P, Adults
-Consult urology to biopsy. -Pathology report shows Adenocarcinoma of the prostate. -Gleason score is: X + X Treatment: -Antiandrogen therapy: Bicalutamide (Casodex) 50mg PO daily, started by urology. -Medical oncology consulted. They will initiate Leuprolide (Lupron)...
Clinic A/P, adults, Clinic A/P, Peds
Urinalysis with microscopy -Hyaline and fine granular casts often seen in pre-renal failure -Tubular epithelial cells or casts: ATN, ( AIN) -WBC CASTS, Urine eosinophils: AIN (Hansel’s stain) -RBC, RBC CASTS: suggests Glomerulonephritis + blood on Dipstick but no RBCs...
