Is OMT used for patients with walking pneumonia?
Was curious if osteopathic manipulative therapy is used with walking pneumonia (mild)? How would this help them? (Source: Student Doctor Network)
Source: Student Doctor Network - May 26, 2019 Category: Universities & Medical Training Authors: medwriter87 Tags: Medical Students - DO Source Type: forums

Malpractice Case: Missed x-ray finding
Case 8: Cough – medmalreviewer Patient seen for cough. Radiology read mentions incidental finding. No follow-up until several years later, patient's incidental finding now developed into inoperable cancer. Patient sues. Doc has died in the meantime, so they're really just suing his estate. Lawsuit dismissed due to statute of limitations. I'm guessing the doc looked at the xray, searching for pneumonia, did not see any, so discharged... Malpractice Case: Missed x-ray finding (Source: Student Doctor Network)
Source: Student Doctor Network - April 27, 2019 Category: Universities & Medical Training Authors: bbc586 Tags: Emergency Medicine Source Type: forums

Failed management placement
Thread Starter Failed management placement Follow 3 hours ago 3h ago Hi. Really looking for advice.sorry for long post. I'm a 3rd year student nurse. I have just come to the end of my management placement to be told by my mentor they would not sign me off. Just to let you know, I previously star...
Source: The Student Room - March 28, 2019 Category: Universities & Medical Training Authors: Studentnurse80 Tags: Medicine Source Type: forums

Re: Benzodiazepines are linked to pneumonia risk in patients with dementia
(Source: BMJ Comments)
Source: BMJ Comments - January 16, 2019 Category: General Medicine Source Type: forums

Are Pharmacists ALLOWED to read X-rays?
Are pharmacists trained to read X-rays or would this be considered inappropriate? I mean, if the patient X-ray shows pneumonia I can see a pharmacist double checking we did not misdiagnose the patient before they dose the antibiotics. Misdiagnosis happen ALL the time in medicine, no question. Is reading an X-ray something pharmacists can do and are trained in? (Source: Student Doctor Network)
Source: Student Doctor Network - February 28, 2018 Category: Universities & Medical Training Authors: Truthspeaker Source Type: forums

Hypoxic Respiratory Failure (COPD exac, CHF Exac, Pneumonia)
This is one of the most common diagnosis I admit as a hospitalist, and often my patients usually have COPD, & CHF. They end up getting treated for both COPD exacerbation and CHF exacerbation and sometiems if the CXR is unclear (edema vs infection), they get treated w/ abx as well. Lot of waste and side effects. Besides the obvious fever, WBC count, what else do you guys use to confidently discriminate between these etiologies. Procalcitonin is one lab I use. Wheezing (could be present... Hypoxic Respiratory Failure (COPD exac, CHF Exac, Pneumonia) (Source: Student Doctor Network)
Source: Student Doctor Network - February 18, 2018 Category: Universities & Medical Training Authors: bananas85 Source Type: forums

Blood culture in community acquired pneumonia in children
(Source: BMJ Comments)
Source: BMJ Comments - December 19, 2017 Category: General Medicine Source Type: forums

Super nervous!
Hello all, I’m currently a 2nd year undergrad student pursuing a BSN. This past week was midterm week and of course the day of my first midterm for the week I ended up in the er with pneumonia. I really didn’t want to miss the exam but I felt terrible. The doctor reccomended that I stay home the next day but I couldn’t stand to miss another test. I felt horrible going into the test and of course I failed it by two questions.I’ve never failed an exam before and I’m totally freaking out I... Super nervous! (Source: Student Doctor Network)
Source: Student Doctor Network - December 15, 2017 Category: Universities & Medical Training Authors: Unicorns & rainbows Source Type: forums

Prior pneumonia influence the prescription of PPI and serious confounder & quot;immunosuppressant use & quot; differ between before and after
(Source: BMJ Comments)
Source: BMJ Comments - September 28, 2017 Category: General Medicine Source Type: forums

Causes and management of community acquired pneumonia in adults. Some practical points need to be highlighted in order to treat effectively and at the same time reduce harm.
(Source: BMJ Comments)
Source: BMJ Comments - August 21, 2017 Category: General Medicine Source Type: forums

Do you list differentials in your ED notes?
Polling the hive-mind here. The culture at my residency program is make a list of your differentials, something to the effect of "DDx: ACS, pulmonary embolism, thoracic aortic dissection, pneumothorax, pneumonia..." I rotated in at a community hospital recently and got chided for doing that. I was told to not make a list because we didn't necessarily work up everything fully in that list (i.e. thought about PE but didn't do a CT pulmonary angiogram) because it exposes you to medicolegal... Do you list differentials in your ED notes? (Source: Student Doctor Network)
Source: Student Doctor Network - May 30, 2017 Category: Universities & Medical Training Authors: Fox800 Source Type: forums

Stupid Things People Document
I'm all for documenting RELEVANT things on our records, but I've seen some bizarre things being written down at times: 1) What number OR the patient was brought to 2) What fruit the patient is allergic to 3) "Patient's consent was obtained in holding prior to OR" 4) What size IV was started 5) "A full H&P was performed prior to OR" 6) "Patient has prior history of pneumonia." Yeah-25 years ago. 7) "Surgeon complaining patient's heart rate too high-I gave 15 mg of esmolol." The... Stupid Things People Document (Source: Student Doctor Network)
Source: Student Doctor Network - April 14, 2017 Category: Universities & Medical Training Authors: soorg Source Type: forums

How does pneumonia precipitate acute chest syndrome?
Pathoma says that its because pneumonia causes vasodilation of pulmonary circulation which causes decreased blood flow, increased RBC transit time, then says that causes RBC dehydration, acidemia, and deoxygenation. How does increased transit time of RBC in the pulmonary circulation cause deoxygenation? Shouldn't it be the opposite? Thanks for any help! (Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2017 Category: Universities & Medical Training Authors: Merely Source Type: forums

Hillery is diagnosed with pneumonia.
Forum: News and current affairs Posted By: PHD2027 Post Time: 11-09-2016 at 23:56 (Source: The Student Room)
Source: The Student Room - September 12, 2016 Category: Universities & Medical Training Source Type: forums

Is there evidence that the association between level of antibiotic prescribing and pneumonia risk might be non-linear?
(Source: BMJ Comments)
Source: BMJ Comments - September 2, 2016 Category: Journals (General) Source Type: forums

Penicillin is still the best for streptococcus pyogenes and pneumococcal pneumonia!
(Source: BMJ Comments)
Source: BMJ Comments - July 3, 2016 Category: Journals (General) Source Type: forums

DNR without DNI?
Do you guys typically offer to make patients DNR without also making them DNI? I'm not talking about patients who have conditions that are likely reversible such as pneumonia. Mainly asking about patients with many comorbidities who would be unlikely to be extubated if they were ever intubated or have advanced dementia/COPD/CHF. I've always felt that CPR and intubation cross a certain line and if they are unlikely to bring the patient back to a reasonable baseline, they should not be offered... DNR without DNI? (Source: Student Doctor Network)
Source: Student Doctor Network - June 16, 2016 Category: Universities & Medical Training Authors: smartparts Source Type: forums

fellowship 7 years out due to health issues???
I've posted previously about considering leaving EM due to a back injury - I had a very successful disc replacement surgery 4.5 years ago, and that in of itself is a non-issue, save for my inability to get LTD at a rate that makes any sense. what IS an issue, however, is that I have a lung problem leading to recurrent and increasingly severe bouts of pneumonia. may or may not be related to newly diagnosed connective tissue disorder. yeah, never going to qualify for ANY individual LTD even... fellowship 7 years out due to health issues??? (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2016 Category: Universities & Medical Training Authors: la gringa Source Type: forums

zythromax long term?
Hi. No diagnosis yet for my 8 yr old daughter. Just had more blood work done today. Waiting on results of PCD panel. Depending on results, will see CF doc in WI or head to indy or cincy. So, daughter was sick recently. Xray showed probable partial lung collapse and possible pneumonia again. Trying to get sputum sample from her. Pulm wants her on zythromax MWF all winter. I don't know what dose but pharmacy double checking before dispensing b/c high dose. I guess this is used as preventative for inflammation. Anyone heard of this? (Source: Cystic Fibrosis Newly Diagnosed Forum)
Source: Cystic Fibrosis Newly Diagnosed Forum - November 21, 2015 Category: Respiratory Medicine Authors: mom2girls Tags: Newly Diagnosed Source Type: forums

Please help!!!
i HAVE A 14 YEAR OLD SON THAT HAS HAD HEALTH PROBLEMS HIS WHOLE LIFE. HE HAD RSV WHEN HE WAS A FEW WEEKS OLD, FAILURE TO THRIVE AT A COUPLE MONTHS OLD AND PNEUMONIA EVERY WINTER FROM AGE ONE UNTIL ABOUT 11. WHEN HE WAS 4 WE NOTICED HE WOULD WHEEZE AND STRUGGLE TO BREATH WHILE WATCHING TV WHICH WE THOUGHT WAS WEIRD BUT WOULD ALWAYS SELFCORRECT IN A FEW SHORT MINS. AFTER A FEW MONTHS WE NOTICED THAT HE WOULD STRUGGLE TO BREATH AND THEN WOULD END UP IN THE BATHROOM WITH DIARRHEA.....EVERY SINGLE EPISODE!!!! IT STARTED OUT HAPPENING ONCE A MONTH AND PROGRESSED INTO 2 OR 3 TIMES A WEEK. WE TOOK HIM TO MULTIPLE DRS AND HOSPITALS...
Source: Cystic Fibrosis Newly Diagnosed Forum - November 14, 2015 Category: Respiratory Medicine Authors: kadesmom Tags: Newly Diagnosed Source Type: forums

CFTR nonsense w-1204, nonsense w-1143
Chr7: 117,267,718 G>A Pathogenic Zygosity: Homozygous dbSNP ID: rs121908764 Population Allele Frequency: 0.00% Gene Impact: CFTR NONSENSE W-1204-* NONSENSE W-1143-* Gene Impact: AC000111.6 INTRON Hello all, I'm a 42 year old male and I had all kinds of problems with my lungs all my life (Pneumonia half a dozen times, Bronchitis more times than I can count, and asthma. A few months ago I ordered an Asthma Peak Flow Meter and my air flow is much worse than it should be even when I do not have any asthma symptoms. For the past several weeks I have had Bronchitis. I didn't bother going to the doctor because this type ...
Source: Cystic Fibrosis DNA and Mutations Forum - October 28, 2015 Category: Respiratory Medicine Authors: oaktree Tags: DNA and Mutations Source Type: forums

Could it be CF in my 14 yo?
My son is 14 years old, weighs 78 lbs and is 4'10". He has had a cough for 2 years now and asthma among other things have been ruled out. He has had pneumonia twice and bronchitis once in this time. He is currently under the care of an endocrinologist because of his growth issues. He is falling farther and farther behind. His latest labs show his FSH to be very low and his LH to be low but not out of range. His vitamin D level continues to stay low despite supplements for the last year. It is currently at 21. He has always struggled with constipation and very large BM's. As an infant he had the same cough he has now t...
Source: Cystic Fibrosis Newly Diagnosed Forum - October 22, 2015 Category: Respiratory Medicine Authors: snowborden1 Tags: Newly Diagnosed Source Type: forums

So confused....no diagnosis...stop looking?
Looking for confirmation my 8 year old daughter doesn't have cf. Wondering what is going on. Has environmental allergies (as shown on skin tests 2x). Diagnosed with asthma 2 yrs ago due to cough...no wheeze ever. Last school year had bacterial pneumonia in Sept (x-ray at er) and bacterial pneumonia in May (2 night hosp stay). Possible pneumonia in mid June...treated but no x-ray. In past has seen GI for possible reflux and genetics b/c she didn't sweat. Sweating has slowly started and they think possible connective tissue disorder. Recurrent pneumonias have lead to numerous tests. She's been doing really well since increa...
Source: Cystic Fibrosis Newly Diagnosed Forum - September 24, 2015 Category: Respiratory Medicine Authors: mom2girls Tags: Newly Diagnosed Source Type: forums

21 YO cf patient looking to move
I currently live in the greater kansas city area and see the KU CF team regularly. I am looking at the possibility of moving to Phoenix Arizona. I have a roommate lined up if I do but other than that I would be alone with the nearest family over 2 hours away. I have more than just my CF to contend with as well as typical CF problems with infections and viral and bacterial pneumonia within the past year. MY past PFT was only about 55% average. At the moment I am being tested for TB because of some symptoms I have been having including small portions of blood in my mucus from the lungs. Other problems i have include the rare...
Source: Cystic Fibrosis Adults Forum - August 14, 2015 Category: Respiratory Medicine Authors: b4herbiesbug Tags: Adults Source Type: forums

Hi All. Throwing this out there to see if anyone can help. Still no CF diagnoise.
Hi Everyone. Well, I had a ambry Pancreatitis Genetic panel done. Any one else, with pancritis problems, Cf etc, which know of theses mutations. G576A, (likely pathogenic) And R668C. (Variant of unknown Significance) Got as far as a CRMS Diagnose. Told neither of these are CF causing. I don't get this as I am still in limbo, The two high sweat test> 84, and 90. To make this short as I always write a book here, I do have good FVC. Low DLCO. (which I think is heart related) Chronic Asthma, Chronic Sinusitis, Allergies, Chronic Bronchitis, Failure to thrive, malnusorption disorder (most all my life) Chronic Pancritis, Oste...
Source: Cystic Fibrosis DNA and Mutations Forum - May 30, 2015 Category: Respiratory Medicine Authors: madmax33 Tags: DNA and Mutations Source Type: forums

Healthcare associated pneumonia (HCAP) and nursing and healthcare-associated pneumonia (NHCAP) are higher readmission rate and mortality than community acquired pneumonia (CAP): retrospective cohort study
(Source: BMJ Comments)
Source: BMJ Comments - February 18, 2015 Category: Journals (General) Source Type: forums

Re: Diagnosis and management of community and hospital acquired pneumonia in adults: summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - February 2, 2015 Category: Journals (General) Source Type: forums

False negative sputum culture?
How often are sputum cultures false negative? My son is currently recovering from a month of sickness including sinusitis that then settled into his chest. His sputum culture was taken 3 days after he finished 10 days of amox and had just started 3 days of augmentin. His sputum was thick yellow good sample and came back normal. I suppose he could have viral pneumonia but I almost wish it was something so we could do something besides empiric therapy. He is being treated with oral antibiotic for one month now and getting better along with albuterol/pulmicort. Any insights? (Source: Cystic Fibrosis Newly Diagnosed Forum)
Source: Cystic Fibrosis Newly Diagnosed Forum - December 30, 2014 Category: Respiratory Medicine Authors: Julie7 Tags: Newly Diagnosed Source Type: forums

18 years old possible CF.
Hi, I have had sinus issues and stomach pain for a long time now and have also coughed up sputum a lot. Recently, I have been having pneumonia due to Staphylococcus Aureus (7 times now.) and hospitalized twice. My pulmonologist send me for a sweat test and it came back as likely having CF. In my most recent hospital stay, I also had a bronchoscopy which came back containing Aspergillus Fumigatus, Candida Albicans, and Staphylococcus Aureus and the doctor mentioned my lungs kinda resembled someone with CF and in my first stay I had been diagnosed with bronchiectasis. Anyone ever have a similar situation? (Source: Cystic F...
Source: Cystic Fibrosis Newly Diagnosed Forum - December 28, 2014 Category: Respiratory Medicine Authors: Lookapancake Tags: Newly Diagnosed Source Type: forums

Re: Diagnosis and management of community and hospital acquired pneumonia in adults: summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - December 15, 2014 Category: Journals (General) Source Type: forums

Re: Diagnosis and management of community and hospital acquired pneumonia in adults: a delayed prescription of antibiotics is not useful.
(Source: BMJ Comments)
Source: BMJ Comments - December 12, 2014 Category: Journals (General) Source Type: forums

Pseudomonas and Balancing Work & Treatment
Good morning. My 8 month old daughter had a cough for 5+ weeks and the CF clinic asked us to bring her in for a check. She dx as CRMS due to her mutations (DF508 and F1052V) and is tracked by our local CF clinic. F1052V is very rare and causes CF in some, and not in others. Her lungs sounded clear so the doctor told us to start CPT 2x/day to see if that helped. Her theory was that this wouldn't hurt her and COULD possibly help her. They did a chest xray which showed bronchitis of some sort but no pneumonia and the doc said her lungs sounded perfectly clear. Well...two days later I get a phone call from the nurse. My daug...
Source: Cystic Fibrosis Newly Diagnosed Forum - December 11, 2014 Category: Respiratory Medicine Authors: lauryn.tubes Tags: Newly Diagnosed Source Type: forums

Re: Diagnosis and management of community and hospital acquired pneumonia in adults: summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - December 8, 2014 Category: Journals (General) Source Type: forums

two copies of m470v (not one but two copies)
Hello, does anyone happen to have this mutation of two m470v. My 5 yr old was diagnosed at 3 for cf even though this mutation isn't suppose to be disease causing.. Famous words...I'm really tired of hearing that. Josiah my cfer has had pneumonia over a dozen times before age 3, 4 sinus surgeries, 2 picc lines hospitalitized 5 times last year, twice this year exacerbations every year �� we are now waiting for Ambry results, and as crazy as this sounds I really hope they find something. He's passed two sweat test, and he is pancreatic insufficient. He's on all the typical cf meds and treatment regiment. I was h...
Source: Cystic Fibrosis DNA and Mutations Forum - December 3, 2014 Category: Respiratory Medicine Authors: Shellee Tags: DNA and Mutations Source Type: forums

When to call?
Good morning. My daughter has been diagnosed with CRMS. She has df508 and a mutation with varying consequences f1052v. Apparently f1052v causes CF in some, but not all it's patients. So my daughter (8 months old) is tracked at a CF accredited center and has been doing well with no symptoms to date. She got a scary high fever last month and our pediatrician instructed us to take her to Children's Urgent Care. This center is affiliated with her CF doctor's and communicated with them to ensure she was being tested for everything she should be. The doctor said she had a diminished lung (meaning it didn't sound as healthy) but ...
Source: Cystic Fibrosis Newly Diagnosed Forum - December 2, 2014 Category: Respiratory Medicine Authors: lauryn.tubes Tags: Newly Diagnosed Source Type: forums

CF testing, at 23?
Hey, I don't know where to start with this one - first off, i'm 23. I have a lot of health problems, and also have a lot of friends with CF because of being in hospitals a lot. I've always been told I have very brittle and unstable asthma, and that because of my asthma I get lots of infections. However its got to the point where I am in hospital every few months, my lung function is rapidly dropping and we cant seam to get the infections under control. So I was referred too another hospital (Papworth) which specializes in CF/ Non-CF bronchiectasis and recurrent difficult infections. They have ran lots of tests, one of wh...
Source: Cystic Fibrosis Newly Diagnosed Forum - October 13, 2014 Category: Respiratory Medicine Authors: Dancingintherain Tags: Newly Diagnosed Source Type: forums

exercise video for 12 yr old boy
Can people make recommendations for an exercise video/program that might appeal to a middle school age boy? PXsomething? Insanity? I've heard of these things, but don't really know much about them. It's too icy to run outside safely right now, and jogging has not appealed to my son thus far anyway. I really want to get him on a routine that appeals to him and can be done year round. He plays fall and spring team sports, but winter and summer are sedate. Fwiw, he doesn't have CF, though like me he gets pneumonia easily. I want him to have the exercise habit to possibly help him not get bronchiectasis like me, and for endo...
Source: Cystic Fibrosis Exercise and Fitness Forum - January 6, 2014 Category: Respiratory Medicine Authors: Melissa75 Tags: Exercise & Fitness Source Type: forums

NG Tube Trouble
I'm in the hospital for pneumonia, waiting for transplant. I had an NG tube placed Friday, but it hurt my throat like crazy. Then early Saturday morning I gave one solid cough, and it came out. The thing was still secured in my nose, and a loop of it was sticking out my mouth. I got another one today (Monday) but wondering if anyone else has had this and has any advice for keeping this one in??? (Source: Cystic Fibrosis Transplants Forum)
Source: Cystic Fibrosis Transplants Forum - September 17, 2013 Category: Respiratory Medicine Authors: chris27rocker Tags: Transplants Source Type: forums

Post-Pneumonic Poor Air Entry
Hello, a 2 years old male presented with typical picture of lobar pneumonia, examination showed localized crepitation with no air entry in the right lower lobe and CXR showed right lower zone infiltration, after 10 days with antibiotic treatment, the fever subsided but there is still poor air entry, what could be the possible cause ? Thank You (Source: New Media Medicine)
Source: New Media Medicine - June 18, 2013 Category: Universities & Medical Training Authors: ssstrong Tags: Current Medical Students Source Type: forums

3 months Post Transplant...
My boyfriend was transplanted Feb 24, 2013. He was at about 13% lung function at the time and was listed for about 8 months before transplant. He had one dry run around Thanksgiving of 2012. He was very hesitant about this whole process. In January of 2004 he got a bad case of pneumonia and was put in a medical induced coma. We live in Syracuse NY but he was transported to Boston during this time. he got put on the transplant list there. He was eventually taken off the list because he seemed to bounce back. After being hospitalized for about 6 months... He went back to his normal life.. Even playing recreational sports aga...
Source: Cystic Fibrosis Transplants Forum - June 7, 2013 Category: Respiratory Medicine Authors: Cmk0808 Tags: Transplants Source Type: forums

Occam's Razor be damned
yesterday, 2 cases, the first severe respiratory distress and chest pain. Turns out to be pneumonia with adjacent effusion, and b/l PE's, and a large lung nodule suspicious for Ca, despite a story sounding like COPD and lungs too tight to move any air and an CXR looking more like CHF. The second, suicide attempt, by alcohol and xanies and oxy's (the latter 2 stolen), with aspiration pneumonitis, and tylenol level>100 (despite the PD and paramedics finding no tylenol containing bottles), and then the urine hcg popped up positive, lol. At least I felt like an EP instead of an urgent care doc, :) (Source: Student Doctor Network Forums)
Source: Student Doctor Network Forums - February 9, 2013 Category: Universities & Medical Training Authors: Rendar5 Tags: Emergency Medicine Source Type: forums

Clinical Policies/Policy Statements
So I hear a lot that you should be well versed with the official policies of the major organizations relevant to your practice. Not necessarily that you have to abide by them but that you need to be familiar with them and know very clearly when you are deviating and why because if you end up in court, it's the policies that will be cited as evidence of your malpractice. So then I have a few questions. Is there anywhere to get a compilation of the current ACEP policies or do you have to pull them off the website one-by-one? What's the difference between a policy statement and a clinical policy? Political vs medical? W...
Source: Student Doctor Network Forums - January 1, 2013 Category: Universities & Medical Training Authors: DeadCactus Tags: Emergency Medicine Source Type: forums

Fev's up but switching meds??
Hi! It's been a while since I have posted anything but I always read these forums. I was wondering, my daughter's pfts were the best they have ever been at fev 112%. I was floored!! She had just been on prednisone for 5 days but still! Anyways, she keeps having episodes of needing to be on steroids so the pulmo thinks we need to change her meds from advair to symbicort. What I dont understand is why if her pfts were so good? Why would she keep having these "episodes" if her asthma is improving?? Or if her lungs were so open and clear??   Short history: She has one mutation, G576A. Thats it. 44 and 39 sw...
Source: Cystic Fibrosis Asthma, Allergies and Green Forum - July 18, 2011 Category: Respiratory Medicine Authors: kaylinsmom Tags: Asthma, Allergies and Green Source Type: forums