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Interstitial Lung Disease

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

“Diffuse parenchymal lung disease may be idiopathic, but there are a number of identified causes such as environmental or occupational exposures. Many collagen vascular diseases and medications used to treat them can induce interstitial lung disease. Common...

Necrotizing Fasciitis

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

-Is a surgical emergency. Call surgery ASAP. -Broad antimicrobial therapy: Pip/Tazo (gram negatives/anaerobes) + Vancomycin (MRSA) + Clindamycin (group A strep) Clinda reduces toxin production by Group A Strep.     Important links Clindamycin for necrotizing...

Compartment Syndrome

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

Tissue Pressure Studies Acute compartment syndrome is an emergency. It can cause serious injury to an extremity. To diagnose it, do tissue pressure studies. It can also develop after a relatively minor injury and can be associated fractures, a badly bruised muscle,...

Sepsis and Septic Shock

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

Definition: Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Diagnosis H&P consistent with sepsis. Labs: -CBC w/ diff, CMP, Coags (PT/INR), D-dimer -Serum lactate -ABG (as needed to eval for acidosis,...

Stress Doses of Steroids

Hospital A/P, Adults, Hospital A/P, Peds, Pharmacy and Therapeutics

“A patient with known adrenal insufficiency secondary to hypopituitarism who is undergoing a period of stress such as illness or surgery should be given intravenous corticosteroids. For moderate-risk procedures such as vascular or orthopedic operations, 50 mg of...

Peritonsillar abscess

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

Diagnosis H&P: Diagnosis of peritonsillar abscess is on the clinical presentation and PE. Common presentation: Risk Factors: Complications: DDx and Etiology: Diagnostic testing: -CT / MRI if Treatment -Drain the abscess: The key to treating a peritonsillar abscess...
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