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For chronic thromboembolic pulmonary disease, CTA for PE is not a good test - V/Q scan is better and preferred
Posted 12/12/16 11:18:39 AM by Anna Krigel
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- Scores calculated 24 hour after admission to the ICU and every 48 hours thereafter, the mean and the highest scores are most predictive of mortality
- Validated score with superior predictive validity of in-hospital mortality compared to SIRS
- qSOFA (quick SOFA) - proposed as a tool to identify sepsis in patients outside of the ICU, not yet prospectively validated
- RR > 22/min
- Altered mentation
- Systolic blood pressure less than or equal to 100mmHg
Posted 12/12/16 11:30:09 AM by Anna Krigel
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- Immunocompromised State
- History of CNS Disease
- New Onset seizure (within 1 week of presentation)
- Papilledema
- AMS
- Focal Neurological Deficit
Posted 12/12/16 11:33:00 AM by Anna Krigel
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Empiric Antibiotic Coverage for Bacterial Meningitis
- Third generation cephalosporin - good CSF penetration and activity against major pathogens including Strep pneumo, Neisseria, and Haemophilus
- Vancomycin - used for beta-lactam resistant strep
- Ampicillin - coverage for Listeria monocytogenes in adults over age 50
- Adjunctive dexamethasone - early IV steroids used to diminish neurologic complications of bacterial meningitis and decreased mortality in patients with strep pneumo meningitis
Posted 12/12/16 02:30:40 PM by Anna Krigel
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Posted 12/12/16 02:32:57 PM by Anna Krigel
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Subglottic stenosis - most common manifestation of tracheobronchial granulomatosis with polyangiitis (Wegener's granulomatosis)
Posted 12/12/16 02:37:10 PM by Anna Krigel
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For further reading...
Posted 12/12/16 02:40:27 PM by Anna Krigel