VCU IM Acting Intern Rounds (@vcuactingintern) 's Twitter Profile
VCU IM Acting Intern Rounds

@vcuactingintern

A Twittersphere of teaching points, clinical questions, challenging diagnoses, and all things Internal Medicine M4 Acting Intern

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calendar_today25-04-2018 00:04:01

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So our last block of AIs talked about gram + bacteremia (great MRSA resource below). What about patients with gram neg bacteremia? - duration of treatment? - what modality of antibiotics (IV/PO)? - do indwelling lines need to be removed? - do we need surveillance cultures?

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Here's another question hot off the wards -- My pt c/o dysuria. This is her UA: UA -- Prot Neg, Leu Lar, Nit Pos, Ket Neg, Glu Neg, RBC 7, WBC 25, pH 8.0, triple phosphate crystals seen. What is likely organism? Should I treat? With what?

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You are the intern who admits a patient with sepsis found to have gram-positive cocci bacteremia - what are the next steps in management that all pts with GPC bacteremia need? Also what antibiotic, duration & route to treat with?

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2 tweets today: What criteria supports the clinical diagnosis of acute diverticulitis? Who should be admitted vs managed as outpt? Do all these patients need antibiotics? What are some options for antibiotic regimens, including duration (PO and IV)? Share your resources