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...

Obstructive and Restrictive Lung Diseases

Clinic A/P, adults

PFT Findings in Obstructive and Restrictive Lung Diseases Obstructive Lung Disease Restrictive Lung Disease FEV1 <80% <80% FEV1/FVC <70% or < LLN ≥ 70% or ≥ LLN FVC Normal to Increased (i.e. ≥ LLN) <80% (i.e. < LLN) Examples COPD (i.e. emphysema and...

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...

Diverticulitis of the large intestine

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....

Atrial Fibrillation with RVR

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

Atrial fibrillation with RVR, new onset, likely 2/2 to __________ (or unknown etiology) Differential diagnosis of A-fib reviewed. Causes of a-fib reviewed. ECG reviewed. Will admit the pt to telemetry bed. Cardiac monitor. CHA2DS2-VASc score = ____ HAS-BLED score =...