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...

Keloid

Clinic A/P, adults, Clinic A/P, Peds, DERMATOLOGY

Treatment -Intralesional corticosteroid injections (1st-line) -“Silicone gel sheeting, topical imiquimod, and intralesional fluorouracil and Bleomycin injections can be used when first-line therapy fails, but these methods are more often associated with...

Resistant Hypertension

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

Definition of Resistant Hypertension. The most common cause of resistant HTN non-adherence. Diagnosis H&P: -Identify and reversible risk factors such as obesity/overweight, lack of exercise, high salt diet, increased alcohol intake. -Screen for OSA and treat if...

Patellofemoral Syndrome

Clinic A/P, Peds

Definition: Anterior knee pain that is worse with running downhill or going downstairs. Diagnosis H&P: Risk factors: DDx & Etiology: Diagnostic studies: Common presentation: The most common symptom is pain beneath the patella. Treatment -Modify running...