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Clostridium Difficile (C. Diff)

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

H&P performed. Risk Factors: Typical Presentation: Classifying C. diff Severity and Treatment. DDx reviewed. Diagnostic Tests: Treatment -Contact precautions: Put the patient in contact isolation with enteric precautions. Healthcare team to wash hands before and...

Pneumonia in Children, Community Acquired, (Outpatient)

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

The most likely etiologic agents and treatment of CAP in children are based on age. Diagnosis -History and physical consistent with CAP. -Diagnosis based mainly on H&P. -Fever + respiratory signs and symptoms (cough, tachypnea). -Vital signs: RR, Oxygen sats, and...

Lyme Disease

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

Background Is the most common vector-borne infection in the United States and Europe. NE USA Campers/hikers Ixodes tick harbors Borrelia burgdorferi Stages: Stage I: erythema migrans (pathognomonic), viral-like syndrome Stage II: arthritis, myocarditis, bilateral...

INPATIENT PROCEDURE GUIDELINES

Hospital A/P, Adults, Hospital A/P, Peds, HOSPITAL MEDICINE

PREPROCEDURE LABORATORY REQUIREMENTS AND ANTICOAGULATION MANAGEMENT (5/2016)  INPATIENT ADVANCED PROCEDURES GUIDELINES lower risk procedures higher risk procedures labs and management No pre-procedural labs unless specified below Do not hold ASA/clopidogrel (Plavix)...

Chrohns and Ulcerative Colitis (IBD)

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

Systemic signs and symptoms are more common with Chrohns than with ulcerative colitis. In a pediatric population, “Crohn’s disease is more common than ulcerative colitis”. Check, in adults, Crohn’s is also more common. Perianal manifestations...

Status Epilepticus

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

-New definition of Status Epilepticus, reviewed. To be completed… Attend to the ABCs before starting any pharmacologic intervention Place patients in the lateral decubitus position to avoid aspiration of emesis and to prevent epiglottis closure over the glottis...
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