core IM Flashcards
SIRS
T >100.4
T <96.8
RR >20
HR >90
WBC >12000
WBC <4000
WBC >10% bands
PCO2 <32 mmHg
Sepsis
2 SIRS +
confirmed OR suspected infection
Severe sepsis
sepsis +
-signs of end organ damage
-hypotension <90
lactate >4
Septic shock
severe sepsis + persistent
-end organ damage
-hypotension <90
-lactate >4
Duke major criteria
1) Bcx + typical (staph, v. strep, enteroccus)
2) evidence of endocaridal involvement on echo
Duke minor criteria
-predisposing factor
-temp >38
-vasc phen (art/sept emboli, pulm infarcs, mycotic aneurysm, conj hemorrhage, janeway lesions, CNS infarct)
-imm phen (glomerulonephritis, osler nodes, roth spot, +RF
-micro evidence atypicals
+ Duke
-2M
-1M + 3m
-5m
atypicals in endocard
E. coli
GA strep
GB strep
HACEK
fungi
HACEK
haemophilus
aggregatibacter
cardiobacterium
eikenella
kingella
CRAB criteria
-hypercalcemia
-renal impairment
-anemia
-bone lesions
CHF GDMT
-RAASi (ARNi, ACEi, ARB)
-BB (carvedilol, metoprolol)
-mineralocorticoid (spiranolactone, eplerenone)
-SGLT2i (dapagliflozin, empagliflozin)
-diruetics (furosemide, torsemide)
Group 1 PH
PAH: damaged or narrowed arteries to lungs
Group 2 PH
left-sided HF
Group 3 PH
lung disease and/or hypoxia
(OSA, fibrosis, COPD)
Group 4 PH
pulmonary artery obstruction/thromboemboli
Group 5 PH
unknown or multiple factors
(p vera, essential thrombocythemia)
cellulitis organism
staph and strep
erysipelas
strep pyogenes
CAP organisms
-strep pneumo
-h fluenza
-kelbsiella
-legionella
-mycoplasma pneum
-chlamydia
-pseudamonas
meningitis organism
strep pneum
n meningitidis
COPD exacerbation tx
-bronchodilator (alb+iprat)
-prednisone 40
-abx (amox-clav, azithromycin, doxy)
-oxygen