Sandbox: Fatima: Difference between revisions
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==Approach to abdominal pain== | ==Approach to abdominal pain== | ||
{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | | | | | | |A01| | | | |A01='''Diagnostic Paracentesis'''<br>❑ Perform ascitic fluid cell count and differential <br>❑ Perform | {{familytree | | | | | | | | | |A01| | | | |A01='''Diagnostic Paracentesis'''<br>❑ Perform ascitic fluid cell count and differential <br>❑ Perform ascitic fluid culture (Inoculated at bedside)}} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | }} | ||
{{familytree | | | | | | | | | | B02 | | | | | | | |B02=PMN ≥ 250cells/mm³}} | {{familytree | | | | | | | | | | B02 | | | | | | | |B02=PMN ≥ 250cells/mm³}} | ||
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{{Family tree| | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|.| | | | | |}} | {{Family tree| | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|.| | | | | |}} | ||
{{familytree | | |!| | | | | | | | | | | | | | | | |!| | | | | |}} | {{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 & day 3<br> IF serum creatinine 1mg/dl, BUN > 30mg/dl or | {{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 & day 3<br> 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 | | |!| | | | | | | | | | | | | | | | |!| | | | | | |}} | {{familytree | | |!| | | | | | | | | | | | | | | | |!| | | | | | |}} | ||
{{Family tree| | |!| | | | | | | | | |,|-|-|-|-|-|-|^|-|-|-|.| | |}} | {{Family tree| | |!| | | | | | | | | |,|-|-|-|-|-|-|^|-|-|-|.| | |}} | ||
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{{familytree | |,|^|-|-|.| | | | |,|-|^|-|-|-|-|.| | | | | | | | |}} | {{familytree | |,|^|-|-|.| | | | |,|-|^|-|-|-|-|.| | | | | | | | |}} | ||
{{familytree | |!| | | |!| | | | |!| | | | | | |!| | | | | | | |}} | {{familytree | |!| | | |!| | | | |!| | | | | | |!| | | | | | | |}} | ||
{{familytree | E01 | |E02| | | E03 | | | | | E04 | | | |E01='''Negative Culture'''<br>❑ Complete | {{familytree | E01 | |E02| | | E03 | | | | | E04 | | | |E01='''Negative Culture'''<br>❑ Complete 5 day Antibiotic Course|E02='''Confirmed SBP'''<br>❑ Narrow the spectrum based on the susceptibility to complete the 5 day 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}} | ||
Revision as of 20:53, 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 & 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 5 day Antibiotic Course | Confirmed SBP ❑ Narrow the spectrum based on the susceptibility to complete the 5 day course | Culture Negative ❑ No Antibiotics indicated | Culture Positive ❑ Bacterascites: Repeat diagnostic paracentesis when the culture growth is discovered | ||||||||||||||||||||||||||||||||||||||||||||||||||