Sandbox: Fatima: Difference between revisions
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{{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 | 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}} | {{familytree/end}} | ||
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Revision as of 20:47, 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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