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”

Author jacobi Posted on July 20, 2017Format AsideCategories TidbitsTags , , ,

Pressors

Highlights from Sepsis surviving Campaign 2016:  Base on ProCESS, ProMISe and ARISE trials,  all 3 trials confirmed that there was no survival benefit of EGDT compared to usual resuscitation.  However, in all three studies patients had early antibiotics, >30ml/kg of IVF prior to randomization.  We need therefore to keep in mind that the practice has changed. Source control: empiric broad-spectrum therapy Abx to cover all likely pathogens within 1hr Initial resuscitation: 30ml/kg of IV crystalloid fluid in first 3 hours … Continue reading “Pressors”