Category: Medicine

UTI,”MCC is ascending infection, usually fecal floraPresent: Suprapubic tenderness, without feverTreat-If asymp, DN treat unless pregnant (goal is to prevent pyelonephritis) or undergoing GU surgery; asymp bacteruria requires 2 cultures for women, 1 for men-If symptomatic, bactrim 3d >nitrofurantoin 5d > fosfomycin; second-line med is flouro-If complicated (men, DM, pregnant, etc) treat for 7 days preferably with flouroPregnant: Amp, amox

Medicine

Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.UTI,”MCC is ascending infection, usually[…]

Read more

CAP vs nosocomial pneumoniae,”CAP-Community or <72 hour of being in a hospital-Typical: MCC is s.pneumo > H. influ-Atypical: Myco > C. chlam > LegionellaNosocomial-Occurs > 72hours post hospital-MCC: G-rod (e.coli, pseudo) > S. aureusTypical presentation: Fever/chills, pleuritic pain, productive cough; CXR shows lobar consolidationAtypical presentation: Sore throat/HA –> Nonproductive cough; CXR shows diffuse reticulonodular infiltrate*CXR lags up to 6 weeks*Alcoholic, think klebsiella*Immigrant, think TB*HIV, think TB or PCP*Organ failure/transplant

Medicine

Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.CAP vs nosocomial pneumoniae,”CAP-Community or[…]

Read more

Pyelonephritis,”Upper GU tract infectionPresent: Flank pain, fever, costovertebral tendernessDx: Leuokocyte o/p-Bactrim or fluoro for 10-14 days-G positive cocci? Amox*Give single dose of ceftraixone or gentamicin before starting PO therapyi/p-IV fluids first-Antibiotic: Amp + gentamycin/cipro. If culture is negative, IV until afebrile then PO for 2-3 weeks. If culture positive

Medicine

Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Pyelonephritis,”Upper GU tract infectionPresent: Flank[…]

Read more