Sandbox: Fatima: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 13: | Line 13: | ||
{{familytree/end}} | {{familytree/end}} | ||
==Approach to abdominal pain== | ==Approach to abdominal pain== | ||
{{familytree/start}} | |||
{{familytree | | | | | | | | | |A01| | | | |A01='''Diagnostic Paracentesis'''<br> Perform ascitic fluid cell count and differential <br>Perform Ascitic fluid culture(Inoculated at bedside)}} | |||
{{familytree | | | | | | | | | | |!| | | | | | | | | }} | |||
{{familytree | | | | | | | | | | B02 | | | | | | | |B02=PMN ≥ 250cells/mm³}} | |||
{{familytree | | | | | | | | | | |!| | | | | | | | |}} | |||
{{familytree | | | | | | | | | | |!| | | | | | | | |}} | |||
{{Family tree| | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|.| | | | | |}} | |||
{{familytree | | |!| | | | | | | | | | | | | | | | |!| | | | | |}} | |||
{{familytree | | C01| | | | | | | | | | | | | | |C02|C01='''If YES'''<br> Presumptive SBP<br>Begin empiric antibiotic therapy(eg:Cefotaxime 2g IV q8H and <br> IV Albumin on day 1 and day 3 IF serum creatinine 1mg/dl, BUN > 30mg/dl or Total Albumin > 4mg/dl|C02='''IF NO'''<br> Look for the signs/symptoms of Infection}} | |||
{{familytree | | |!| | | | | | | | | | | | | | | | |!| | | | | | |}} | |||
{{Family tree| | |!| | | | | | | | | |,|-|-|-|-|-|-|^|-|-|-|.| | |}} | |||
{{familytree | | |!| | | | | | | | | |!| | | | | | | | | | |!| | |}} | |||
{{familytree | | D01 | | | | | | | | D02 | | | | | | | | | D03 | |D01= '''Is Culture Positive ?'''| D02='''Absent Symptoms'''<br> Is Culture Positive?|D03='''Symptoms Present'''<br> Begin Empiric Antibiotic Therapy for SBP}} | |||
{{familytree | | |!| | | | | | | | | |!| | | | | | | | | | | | |}} | |||
{{familytree | |,|^|-|-|.| | | | |,|-|^|-|-|-|-|.| | | | | | | | |}} | |||
{{familytree | |!| | | |!| | | | |!| | | | | | |!| | | | | | | |}} | |||
{{familytree | E01|| |E02| | | E03 | | | | | E04 | | | |E01='''Negative Culture'''<br> Complete 5day Antibiotic Course|E02='''Confirmed SBP'''<br> Narrow the spectrum based on the susceptibility to complete the 5day course|E03='''Culture Negative'''<br> No Antibiotics indicated| E04= '''Culture Positive'''<br> Bacterascites: Repeat diagnostic paracentesis when the culture growth is discovered}} | |||
{{familytree/end}} | |||
Revision as of 20:41, 24 January 2017
| Rhinitis | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Positive Skin Prick or RAST | Negative Skin Prick or RAST | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Allergic Rhinitis | Non Allergic | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Infectious | Vasomotor | Gustatory | Nonallergic eosinophilic rhinitis syndrome (NARES) | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Acute Rhinosinisitis | Chronic Rhinosinusitis | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Approach to abdominal pain
| Diagnostic Paracentesis Perform ascitic fluid cell count and differential Perform Ascitic fluid culture(Inoculated at bedside) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| PMN ≥ 250cells/mm³ | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| If YES Presumptive SBP Begin empiric antibiotic therapy(eg:Cefotaxime 2g IV q8H and IV Albumin on day 1 and day 3 IF serum creatinine 1mg/dl, BUN > 30mg/dl or Total Albumin > 4mg/dl | IF NO Look for the signs/symptoms of Infection | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Is Culture Positive ? | Absent Symptoms Is Culture Positive? | Symptoms Present Begin Empiric Antibiotic Therapy for SBP | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Negative Culture Complete 5day Antibiotic Course | Confirmed SBP Narrow the spectrum based on the susceptibility to complete the 5day course | Culture Negative No Antibiotics indicated | Culture Positive Bacterascites: Repeat diagnostic paracentesis when the culture growth is discovered | ||||||||||||||||||||||||||||||||||||||||||||||||||