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Tag Archives: infectious disease
Viral Meningitis, “Answers”
1. Are there any elements on history & physical that make you suspect viral meningitis in adult patients? Do you LP all patients you suspect have viral meningitis? Clinicians have long tried to identify elements of a patient’s history or … Continue reading
Viral Meningitis, Questions
1.) Are there any elements on H&P that make you suspect viral meningitis in adult patients? Do you LP all patients you suspect have viral meningitis? 2.) Does a “normal” CSF reassure you that the patient does not have bacterial … Continue reading
Mammal Bites: “Answers”
1. Which mammal bites get antibiotics? Cat versus human versus dog? Location of the bite? From a Cochrane review of the topic, which looked at all known randomized controlled trials (RCTs) on the subject: “The use of prophylactic antibiotics was … Continue reading
Mammal Bites: Questions
1. Which mammal bites get antibiotics? Cat versus human versus dog? Location of the bite? 2. Which mammal bites do you close primarily and which do you leave open? What’s your time window? Does it vary by mammal or location? … Continue reading
Pelvic Inflammatory Disease “Answers”
1. Which factors on history and physical make you think a patient has more than cervicitis? Greater than 90% of patients with PID present with bilateral, lower abdominal pain. Time of onset is similarly suggestive, with up to 75% of … Continue reading
Pelvic Inflammatory Disease
1. Which factors on history and physical make you think a patient has more than cervicitis? 2. Which antibiotic regimen do you use to treat patients with PID? Do you routinely include metronidazole in your regimen? 3. What imaging do … Continue reading
Pediatric Fever “Answers”
1. A well-appearing, 6 month-old girl has a 104 fever and has had two seizures on the day of presentation to the ED. Do you perform an LP? A February 2011 AAP guideline on children with simple febrile seizures makes … Continue reading
Pediatric Fever
1. A well-appearing, 6 month-old girl has a 104 fever and has had two seizures on the day of presentation to the ED. Do you perform an LP? 2. A 22 day-old presents with a fever of 101.9, WBC count … Continue reading
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