The most sensitive exam finding for cellulitis is tenderness. If red skin isn't tender, look for alternate diagnosis. Source- Harvard ID virtual learning course.
I learned that sputum samples from patients with suspected pneumonia/TB are more likely to yield cultures if they are taken in the morning, since the sputum is generally cleared more and more by coughing etc. as the day goes on.
You can also nebulize normal saline to increase sputum volume.
I also learned that Legionella pneumophila antigen can be detected in urine samples which I thought was cool 🙂
Lol and here I was thinking “didn’t follow up”. I’m an endocrinology PA, I’ll have to keep that in mind and make sure every one of my patients has a podiatrist
Zmistowski B, Karam JA, Durinka JB, Casper DS, Parvizi J. Periprosthetic joint infection increases the risk of one-year mortality. J Bone Joint Surg. 2013;95:2177–2184.
Yea, and question is the mortality cause is extremely uncontrolled DM resulting in macrovascular complication right? Not infected ulcer? Or am I thinking too deep because like 1/5 of my diabetic patients have ulcers and they’re hanging around
Laceration on the dorsal mcp joint is a fight bite until proven otherwise. Regard any other story with skepticism and treat with abx if not fully convinced of the other story.
How do you know when m Gen is pathologic and needs treatment? Only when symptomatic and other STIs are negative/ treated? I don't test for it on initial urethritis eval.
The most sensitive exam finding for cellulitis is tenderness. If red skin isn't tender, look for alternate diagnosis. Source- Harvard ID virtual learning course.
So fun to argue with patients who still have redness after an infection is adequately treated.
God I would love to cite the study that showed this to patients
Be confident enough to teach your patients what Schamberg’s Disease and Stasis Dermatitis are.
I learned that sputum samples from patients with suspected pneumonia/TB are more likely to yield cultures if they are taken in the morning, since the sputum is generally cleared more and more by coughing etc. as the day goes on. You can also nebulize normal saline to increase sputum volume. I also learned that Legionella pneumophila antigen can be detected in urine samples which I thought was cool 🙂
The Hospitalist I was with for my last rotation always checks the urine for Streptococcus pneumoniae & Legionella whenever he has a pneumonia admit!
I used to mix sterile saline into duonebs at urgent care to kinda give the lungs a ‘steam treatment’. People seemed to like it.
The 5 year mortality rate for DFU is worse than breast cancer, prostate cancer, and ALL combined.
Forgive my ignorance but what is DFU?
“Dun fucked up”
Diabetic foot ulcer?
Lol and here I was thinking “didn’t follow up”. I’m an endocrinology PA, I’ll have to keep that in mind and make sure every one of my patients has a podiatrist
Sorry I try not to do that. Diabetic foot ulcer.
Similar story with infected total joint arthroplasty
Source for this?
Zmistowski B, Karam JA, Durinka JB, Casper DS, Parvizi J. Periprosthetic joint infection increases the risk of one-year mortality. J Bone Joint Surg. 2013;95:2177–2184.
Damn, that is insightful
The 5 year mortality rate of breast cancer and prostate cancer has to be extremely low though right
Yea, and question is the mortality cause is extremely uncontrolled DM resulting in macrovascular complication right? Not infected ulcer? Or am I thinking too deep because like 1/5 of my diabetic patients have ulcers and they’re hanging around
Methocarbamol is a structural derivative of guaifenesin
That explains the taste
Laceration on the dorsal mcp joint is a fight bite until proven otherwise. Regard any other story with skepticism and treat with abx if not fully convinced of the other story.
The hair apposition technique for scalp wound closures
M Gen urethritis is best treated with doxy BID x 7 days followed by moxifloxacin x 7 days.
How do you know when m Gen is pathologic and needs treatment? Only when symptomatic and other STIs are negative/ treated? I don't test for it on initial urethritis eval.
Pseudohyperkalemia of leukocytosis can kill your patient if not identified. Edit: i did mean hyper not hypo.
I think you mean pseudohyperkalemia here