Search results for "Antibiotics"
Score may determine when patients should seek treatment for strep throat
A score to diagnose group A streptococcal (GAS) pharyngitis that can be calculated by patients at home could save hundreds of thousands of visits annually by identifying the need for testing or treatment, a study found.
https://immattersacp.org/weekly/archives/2013/11/05/2.htm
5 Nov 2013
MKSAP Quiz: 5-week history of spots in the mouth and throat
A 33-year-old woman is evaluated for a 5-week history of whitish spots in the mouth and the back of the throat and discomfort with swallowing solid foods. This is her first episode of these symptoms. She has had no mouth pain, trouble ingesting liquids or pills, nausea, vomiting, diarrhea, fever, chills, sweats, or skin problems. She has a 3-year history of HIV infection and also has moderately severe asthma, which is now well controlled with inhaled medications that were recently prescribed. Whitish plaques are seen on the palate and posterior pharynx. What is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2013/11/19/3.htm
19 Nov 2013
INT1113_15-ITN-JKS
This error may lead to treatment. with an inappropriate antibiotic or a delay.
https://immattersacp.org/archives/2013/11/acpi-201311-coding_t1.pdf
12 Dec 2013
MKSAP Quiz: ED evaluation for acute onset of pain
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes azathioprine. On physical examination, she appears ill. Following aggressive fluid resuscitation, temperature is 38.9° C (102.0° F), blood pressure is 70/40 mm Hg, pulse rate is 148/min, and respiration rate is 35/min. Abdominal examination discloses absent bowel sounds, distention, and diffuse marked tenderness with mild palpation. Following lab studies and the results of a radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2014/01/mksap.htm
1 Jan 2014
Withholding, delaying antibiotics for simple respiratory infections had similar outcomes as immediate prescriptions
Not prescribing antibiotics or delaying prescriptions for uncomplicated acute sore throats and other respiratory infections resulted in fewer than 40% of patients using antibiotics and similar symptomatic outcomes versus offering immediate prescriptions, a study found.
https://immattersacp.org/weekly/archives/2014/03/18/1.htm
18 Mar 2014
Azithromycin, levofloxacin associated with increased cardiac risk versus amoxicillin
Azithromycin and levofloxacin were both associated with increased cardiac risk compared with amoxicillin, a recent study found.
https://immattersacp.org/weekly/archives/2014/03/18/5.htm
18 Mar 2014
IDSA supports neuraminidase inhibitors for flu in specific populations
In the wake of recent systematic reviews critical of anti-flu drugs, the Infectious Diseases Society of America (IDSA) has reaffirmed recommendations on use of neuraminidase inhibitors (NAIs) for treatment of influenza in high-risk patient populations or severe cases.
https://immattersacp.org/weekly/archives/2014/04/29/4.htm
29 Apr 2014
MKSAP Quiz: ED evaluation for a painful body rash
A 64-year-old man is evaluated in the ED for a rash that first developed 3 days ago and has rapidly spread to cover most of his body. He has a history of mild psoriasis, well controlled with topical corticosteroids, and asthma. One week ago, he completed a 10-day course of oral corticosteroids for an acute exacerbation of asthma. On physical examination, more than 90% of his body surface area is erythematous. There are widespread coalescing erythematous patches and plaques, many with pinpoint pustules coalescing into lakes of pus. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/04/29/3.htm
29 Apr 2014
More things you shouldn't do based on the lack of evidence
Unwarranted testing and use of resources make up the biggest chunk of unnecessary health care costs, estimated at between $250 and $325 billion per year, and include such items as folic acid tests for patients with altered mental status, creatine kinase muscle-brain testing, and 24-hour patient observation after switching from IV to oral antibiotics.
https://immattersacp.org/archives/2014/05/evidence.htm
1 May 2014
MKSAP Quiz: 6-month history of diarrhea and bloating
A 51-year-old woman is evaluated for a 6-month history of diarrhea and bloating. She reports four to six loose stools per day, with occasional nocturnal stools. She has had a few episodes of incontinence secondary to urgency. She has not had melena or hematochezia but notes an occasional oily appearance to the stool. Following a physical exam and lab results, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/05/13/3.htm
13 May 2014