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Eosinophilia | Paul Kim's Medical Notes
https://pkimmd.wordpress.com/2010/12/17/eosinophilia
Paul Kim's Medical Notes. Just another WordPress.com weblog. December 17, 2010 • 5:11 am. Eosinophilia exists if blood eosinophils exceed 0.35? L when large numbers of cells are counted, as with automated instruments or direct chamber counts; or 0.5? L when the count is calculated from the 100- or 200-cell differential and the total leukocyte count. Eosinophilia is typically associated with allergic processes (the most common cause in ambulatory outpatients in North America) ( Brigden, 1999. CML, Hodgkin...
CAP or not | Paul Kim's Medical Notes
https://pkimmd.wordpress.com/2011/01/14/cap-or-not
Paul Kim's Medical Notes. Just another WordPress.com weblog. January 14, 2011 • 10:07 pm. Presented case of 92 yo who p/w CAP. Started treatment with Azithro, Rocephin. Lessons learned from today’s case. 1) Get ABG stat and don’t delay. It will determine placement – PaO2/FiO2 gradient. If less than 300, respiratory failure. 2) Significant hypoperfusion is seen when the LA is 36. 4) Other things to consider PCP, Fungal. 5) Levaquin is more for atypical bacterial covereage. Leave a Reply Cancel reply.
Bronchopneumonia | Paul Kim's Medical Notes
https://pkimmd.wordpress.com/2011/01/15/bronchopneumonia
Paul Kim's Medical Notes. Just another WordPress.com weblog. January 15, 2011 • 12:21 am. Not typically caused by strep pneumo. More with HAP, staph aureus, klebsiella, e coli, pseudomonas. Multiple foci, isolated, consolidations and multi-lobular involvement. Different from lobar pneumonia. Leave a Reply Cancel reply. Enter your comment here. Fill in your details below or click an icon to log in:. Address never made public). You are commenting using your WordPress.com account. ( Log Out.
When to give PCN in GBS Unknown | Paul Kim's Medical Notes
https://pkimmd.wordpress.com/2011/01/27/when-to-give-pcn-in-gbs-unknown
Paul Kim's Medical Notes. Just another WordPress.com weblog. January 27, 2011 • 6:17 pm. When to give PCN in GBS Unknown. Reasons to give Pcn to GBS Unknown (According to CDC and not ACOG). 8211; Less than 37 weeks. 8211; Fever 100.4 F. 8211; 18 hours ruptured. If allergic – Clinda or erythromycin. If resistant, Vanco. Leave a Reply Cancel reply. Enter your comment here. Fill in your details below or click an icon to log in:. Address never made public). Notify me of new comments via email.
Influenza and Pregnancy (Old) | Paul Kim's Medical Notes
https://pkimmd.wordpress.com/2011/01/13/influenza-and-pregnancy-old
Paul Kim's Medical Notes. Just another WordPress.com weblog. January 13, 2011 • 12:49 am. Influenza and Pregnancy (Old). 8211; 25% get flu like symptoms (Gi, Aches, fatigue, respiratory sx), 5-9% get Influenza like illness (above plus cough and fever), 1% need hospitalization. 8211; Babies with 63% lower risk of getting lab confirmed Flu if mother had been vaccinated (3.5vs 9.5%0). NNT 5. for febrile illness. 8211; If well matched, 70-90% efficacy. Poorly matched 30-50%. 8211; If T 100.4, flu symptom...
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Paul Kim's Medical Notes | Just another WordPress.com weblog
Paul Kim's Medical Notes. Just another WordPress.com weblog. January 27, 2011 • 6:17 pm. 8211; Decreased fetal movements felt by mother. 8211; Meconium in the amniotic fluid. 8211; Non-reassuring patterns seen on cardiotocography. 8211; Increased or decreased fetal heart rate. 8211; Decreased variability in the heart rate. 8211; Late decelerations. 8211; Fetal scalp pH showing metabolic acidosis, elevated lactic acidosis. 8211; Breathing problems. 8211; Abnormal position. 8211; Multiple births. 3) Mortal...
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