What are some signs of acute liver failure?
coagulopathy Jaundice Hypoglycemia Hepatic encephalopathy Infection Elevated LFTs any complication assoc. w/ cirrhosis
about what percent of heavy drinkers develop cirrhosis?
15-20%
cirrhosis in hemochromatosis increases the risk of hepatocellular carcinoma by how much?
by 200 fold
what are some of the initial steps to taking care of pts admitted to the hospital with suspected pneumonia?
CXR (PA & lateral) Lab tests-CBC w/ differential, BUN, creatinine, glucose, electrolytes O2 sats 2 pretreatment blood cultures gram stain and culture of sputum antibiotic therapy
what is the treatment of choice for outpatient uncomplicated community acquired pneumonia in pts w/o significant comorbidities?
azithromycin or clarithromycin
what drugs do you use to treat outpatient CAP in older adults and pts w/ comorbidities?
fluoroquinolones like levofloxacin or moxifloxacin, note 2nd or 3rd gen cephalosporin is the first line treatment
how do you treat inpatient CAP?
can use fluoroquinolone alone or a 3rd gen cephalosporin plus a macrolide (e.g. ceftriaxone plus azithromycin)
how do you treat hospital-acquired pneumonia?
tx is tailored toward gram-negative rods (any of the 3 are good)
- cephalosporins w/ pseudomonal coverage: ceftazidime or cefepime
- carbapenems: imipenem
- piperacillin/tazobactam
what is normal urine output rate for adults?
0.5 to 1.0 mL/kg/hr
drug of choice for treating wolf parkinson white syndrome?
procainamide
what is felty syndrome?
triad of RA, neutropenia and splenomegaly
what is charcot’s triad for cholangitis?
Fever, severe jaundice, RUQ abdominal pain
which type of IBD is associated with P-ANCA?
ulcerative colitis