Are diabetics immunocompromised in your practice?
Had some pushback last night from a hospitalist. Been out 4 years and never heard this argument before. 50's male with HTN, IDDM. Came in febrile to 102, obviously tacky. WBC 16k, lactic 2.5. Viral panel neg. Pneumonia on CT. Did all the sepsis stuff and covered with abx. The hospitalist argues with me and says they are stable and can be sent home and when I said they are immunocompromised with DM he said "almost everyone is diabetic so what" Threw me for a loop. I would never consider... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 15, 2024 Category: Universities & Medical Training Authors: wareagle726 Tags: Emergency Medicine Source Type: forums

Please help a fellow colleague
Hi everyone, I am heartbroken as my husband is battling severe pneumonia and ventilated, not responding well. He's currently hospitalized in the ICU and has a team who is managing him but he's not responding well to treatment. I am scared out of my mind. I would like if anyone can provide me recommendations of the best pulmonologists/experts that we can be referred to that can possibly provide us with some additional insight? Any referrals of experts in this area would be much... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 1, 2024 Category: Universities & Medical Training Authors: Iamnew2 Tags: Pulmonary / Critical Care Medicine Source Type: forums

Rising cases of respiratory disease and pneumonia spark WHO concern:: we should or should not not think that there is no new variant
(Source: BMJ Comments)
Source: BMJ Comments - November 29, 2023 Category: General Medicine Source Type: forums

Anyone know what's going on with Mary Lou Retton?
I just read that she's very ill with some rare pneumonia. I've always been a big gymnastics fan, and this is sad news. I hope she does ok. Amazing that she's uninsured too! (Source: Student Doctor Network)
Source: Student Doctor Network - October 11, 2023 Category: Universities & Medical Training Authors: Angler Tags: Critical Care Source Type: forums

SCS cancelled: again
Anesthesia cancelling case. Reported pneumonia a month ago. H/o asthma. Off Abx x10 days. Normal CBC Normal CXR. Pre-op eval 2 days before surgery and patient says SOB when waking to car. No sx in office, normal pulse ox on RA. Cancelled by anesthesia as not at baseline. Fax today from PCP saying low risk. Your take? (Source: Student Doctor Network)
Source: Student Doctor Network - October 27, 2022 Category: Universities & Medical Training Authors: lobelsteve Tags: Anesthesiology Source Type: forums

Capacity evaluation for Covid Deniers?
****NOT A POLITICAL THREAD**** This is a real thing and I bet other people have encountered this or thought about it. Let's leave politics out so this thread doesn't get closed. A colleague on call this morning got a capacity consult for a Covid + patient on 3L but with several co-morbidities that increases risk of rapid decompensation wanting to leave AMA because she doesn't believe in Covid. Team tried telling her she's got pneumonia leaving Covid out of it, but she refuses to believe it... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2022 Category: Universities & Medical Training Authors: Mass Effect Tags: Psychiatry Source Type: forums

Case: pediatric airway foreign body
Hey folks, I thought I'd bring up an interesting case for people to talk about! Check this out: On a weekend call shift, a 9 month old girl comes to the OR for airway foreign body removal. Baby has had a month now of initially tugging at ears and URI sxs, progressed to coughing, treated as bronchiolitis and eventually concern for development of pneumonia which has been treated with abx for the last 2 weeks. Now presented from PCP's office to the ED with increased tachypnea / respiratory... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 4, 2021 Category: Universities & Medical Training Authors: ethilo Tags: Anesthesiology Source Type: forums

What is the NNT for an EM physician to have a better outcome...
Comparing physicians and PAs as solo providers in a rural... : Journal of the American Academy of PAs f the host institution were analyzed. Although minor variances in metrics were appreciated, transfers, 72-hour returns, and death rates were all similar among provider types. Results from this work do not demonstrate a clinically meaningful difference among ED metrics between physicians and PAs... journals.lww.com Just came off shift where I worked alongside an EM doc a few years out of 3 year residency. Last patient with pneumonia failing bipap wi...
Source: Student Doctor Network - July 25, 2021 Category: Universities & Medical Training Authors: Boatswain2PA Tags: Emergency Medicine Source Type: forums

My case today Cerebral palsy, impossible spinal, bad pulmonary function
22 year old 66 lbs 3’2 ft, with bad cerebral palsy, non verbal, badly contracted limbs, spine literally on the side with the worst kyphosis and scoliosis I have ever seen. Had a femur fracture a month ago, had a bout with multi resistant pneumonia which lef him with a bad Pulmonar function (which was bad to begin with due to his condition). Last week was scheduled for a femoral nail. I was not present but the attending then said meddling with the airway was out of the way, and just could... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 24, 2021 Category: Universities & Medical Training Authors: Sleeplessbordernights Tags: Anesthesiology Source Type: forums

NP and PA misdiagnosis leads to 1 year old death and $3M lawsuit awarded
https://www.kansascity.com/news/nation-world/national/article252446403.html?fbclid=IwAR1peZVxp-6bYeUwUuQUKOL2495uJrWbRAwGMpXDgBP4RZsKRPwQZGA_aqw When Kyler was 5 months old, he was seen at a primary care clinic at CoxHealth after suffering a persistent fever for 10 days. A nurse practitioner diagnosed him with pneumonia, though he didn’t exhibit other signs of pneumonia, attorneys said. Kyler had actually been suffering from Kawasaki disease. The Missouri... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 1, 2021 Category: Universities & Medical Training Authors: wamcp Tags: Pediatrics Source Type: forums

We need more cases like this
Jury awards nearly $3.2 million after NP pediatric misdiagnosis at UC​ A few months before the misdiagnosis, Kyler was brought into a primary care clinic operated by CoxHealth for a prolonged fever, which is a symptom of Kawasaki’s disease. A nurse practitioner misdiagnosed Kyler with pneumonia and he was sent home. (Source: Student Doctor Network)
Source: Student Doctor Network - June 30, 2021 Category: Universities & Medical Training Authors: Taurus Tags: Emergency Medicine Source Type: forums

Re: The role of chest radiography in confirming covid-19 pneumonia
(Source: BMJ Comments)
Source: BMJ Comments - September 12, 2020 Category: General Medicine Source Type: forums

Re: The role of chest radiography in confirming covid-19 pneumonia - do not forget HIV and pneumocystis jiroveci.
(Source: BMJ Comments)
Source: BMJ Comments - August 4, 2020 Category: General Medicine Source Type: forums

Computed tomography of Covid-19 pneumonia: adherence to appropriate infection prevention and control practice is imperative.
(Source: BMJ Comments)
Source: BMJ Comments - August 4, 2020 Category: General Medicine Source Type: forums

Social Media etiquette/protocols?
Hey guys, I was about to quote an ignorant politician's tweet, call her a few curse words, and leave my opinion on why her statement is wrong. If you're wondering what she tweeted, she was basically saying wearing face masks during this pandemic is bad because excessive use of it can cause pneumonia, apparently. Before I hit send tweet, I realized people on social media lose scholarships, acceptances, or experience negative consequences all the time for saying the wrong thing online. This... Social Media etiquette/protocols? (Source: Student Doctor Network)
Source: Student Doctor Network - June 24, 2020 Category: Universities & Medical Training Authors: FutchaDocta111 Tags: Medical Students - MD Source Type: forums