Bronchiolitis

Clinic A/P, Peds, Hospital A/P, Peds

Background Bronchiolitis is a viral infection. Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis. In North America, RSV season is November to April. Most cases occur from December to March. RSV is rarely associated with a bacterial...

Pneumonia in children, Community Acquired (Inpatient)

Hospital A/P, Peds

Community-Acquired Pneumonia in children + Fever, cough, tachypnea CBC, CMP, CXR ordered and reviewed. Admit to peds floor. Condition: Stable; Routine vitals; Activity as tolerated; Diet as tolerated. f/u BCx and Sputum Cx. The patient got a dose of ceftriaxone in the...

Influenza A

Hospital A/P, Peds

Sample Case A previously healthy male neonate (<4 weeks old) admitted with a cc of “Gagging and breathing funny”. 3 days prior to admission, the patient started “breathing funny, making noises like wanting to clear his throat, sneezing, and...

Urticaria (Hives)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Peds, Pharmacy and Therapeutics

Treatment of Acute Urticaria (Hives) -R/o anaphylaxis. Epinephrine IM  is urgently indicated for laryngeal swelling and respiratory symptoms. This should be done first, before anything else. -H1-antihistamines (1st-line tx). 2nd Generation H1 antihistamines are...

Croup (laryngotracheobronchitis)

Clinic A/P, Peds, Hospital A/P, Peds

Background -Viral URI. Parainfluenza is the most common cause -Croup is common amongst children ages 6 to 36 months although it can present between 6 months and 12 years. Diagnosis H&P:  -Triad of hoarse voice, barking cough, and inspiratory stridor. -Westley...

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...