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Medicine
Medicine
Todos
- tolearn
- MKSAP todos
- heart murmurs
Organ Systems
- Allergy and Immunology
- Rheumatology
- Cardiology
- Dermatology
- Endocrine
- ENT
- GI
- Hemeonc
- ID
- MSK
- Nephrology
- Urology
- Neurology
- Pulmonology
- Podiatry
Subject Areas
- General
- Biostats
- Psychiatry
- [[Geriatric
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Septic Arthritis
septic arthritis
- related: MSK, ID, pediatric septic arthritis, osteomyelitis, prosthetic joint infection, notes, arthrocentesis
Causes
Septic arthritis is an infection of the synovial joint space.
Septic arthritis can occur through hematogenous spread, local extension, or direct inoculation (trauma).
- S. aureus: most common, more than 50% of cases
- chil
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Febrile Neutropenia
febrile neutropenia
Neutropenic prophylaxis
- antiviral: acyclovir if HSV+
- antifungal
- fluconazole if on cytarabine/venetoclax
- posaconazole if on 7+3, cytarabine/daunorubicin/midaustaurin
- antibacterial
- moxifloxacin inpatient
- levofloxacin ambulatory
- maintain gram negative coverage until ANC resolves
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Hepatitis B Vaccine
hepatitis b vaccine
- related: GI, Hepatitis B, notes
- tag: #note
- source: https://www.uptodate.com/contents/hepatitis-b-virus-immunization-in-adults
Vaccine types
The United States Advisory Committee on Immunization Practices (ACIP) recommends the use of the following vaccine formulations:
- Recombinant hepatitis B vaccines (conventional)
- Recombivax HB (10 mcg HBsAg/mL)
- Engerix-B (20
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Pain Management
pain management
1. Assess Pain
- Using functional status as a guide
- 30% improvement as function
Types of pain:
- acute vs chronic
- malignant vs non-malignant pain
- Somatic
- tissue damage, muscle, bone
- aching, deep, dull, sharp, stabbing
- localized
- Visceral
- gallbladder, intestines, liver
- crampy, pressure, bloating, nausea, vomiting, sweating
- referred
- Neuropathic
- cause: somatic/visceral coexisting, injury
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Staph Surgical Infection
staph surgical infection
- related: ID, notes, preop shaving
- S. aureus is the most common pathogen (23%) associated with surgical site infections (SSIs)
- SSIs after CABG can be serious and devastating, with mediastinitis related to S. aureus of particular concern.
- evaluate for nasal carriage 2 weeks before surgery and decolonize if positive.
- prophylaxis: mupirocin ointment for 5
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Surgical Intervention Prevention
surgical intervention prevention
- related: preop shaving, ID, notes
- hyperglycemia: glucose < 180 during first 48 hours after sugery
- immunosuppression: reduce dose of agents
- tobacco: cease 30 days prior
- skin: shower night before
- hair removal: clip and not shave
- hypothermia: maintain temperature > 96.8
- hypovolemia: enure volume replacement
- incision drainage: sterile dressing 24-
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Head and Neck SCC 02 03
Head and Neck SCC
- related: notes
Epidemiology
- head and neck cancer can be morbid but also can be cured more easily
- Incidence high due to HPV
- oral cavity: epithelial/respi track, more from smoking
- nasopharynx, lymph nodes: more from viral
Cases
