Author jacobi Posted on August 10, 2017August 10, 2017Format AsideCategories Education, TidbitsTags , ,

Malaria Prophylaxis

  Falciparum Ovale Vivax Malarie Age of RBCs infected All Young Young Old Size of cell NL Big Big NL % of Parasitemia >5% <5% <5% <5% Liver stage no yes yes no Common prophylaxis drugs (eg, chloroquine, mefloquine and doxycycline) target blood stage of parasite (blood schizonticides). Malaria with liver stage (Ovale, Vivax) should treated with tissue schizoticides (eg, atovaquone/proguanil).   If one person travel to chloroquine-resistant P falciparum (Sub-Saharan Africa, Southern & Southeast Asia),  prophylaxis with Atorvaquone-proguanil, Doxycycline, … Continue reading “Malaria Prophylaxis”

Author jacobi Posted on August 3, 2017August 3, 2017Format ImageCategories Tidbits, Weekend CoverageTags , , ,

weekly image 0803

  39M from DR, h/o AIDS (CD4 = 40, VL 250k) not on HAART, p/w AMS, also have decreased ambulation/appetite/speaking/ambulation for 2 wks Vitals:  98.3/55/18   BP: 100/60 What is the differential diagnosis ?   What to do for this patient ?               From NEJM  Teaching Topics | February 23, 2012   Q. What neoplastic processes are part of the differential diagnosis of a peripherally enhancing brain lesion? The differential diagnosis of a peripherally … Continue reading “weekly image 0803”