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 20, 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 HOSPI...
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 typ...
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 ...
Source: Cystic Fibrosis Newly Diagnosed Forum - October 21, 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 sinc...
Source: Cystic Fibrosis Newly Diagnosed Forum - September 24, 2015 Category: Respiratory Medicine Authors: mom2girls Tags: Newly Diagnosed Source Type: forums
