Meningitis Treatment
Meningitis treatment, is the inflammation of the meninges around the brain and or spinal cord. complaints of fever and stiff neck. CSF study. Inj. Ceftriaxone 2g IV Q12H ATD
Inj. Vancomycin 1g IV Q12H
August 2020
Leptospirosis Treatment
Leptospirosis Treatment- caused by Leptospira interrogans, fever, myalgia, calf pain, conjunctival suffusion, IgM+, Treatment with Doxycyclin, CP, Ceftriaxone
Hypokalemia
Hypokalemia Causes • Loop diuretics Vomiting and diarrhea Diuresis including diuretic phase of ARF On IV fluids without supplementation of potassium. Features ECG changes-T wave flattening, inversion, ST depression, prominent U and P waves, low voltage QRS and bradycardia. Muscle weakness, absent deep tendon reflexes and diminished bowel sounds. Hypokalemia Treatment Mild hypokalemia (serum K’
DERMATOLOGY IN MEDICINE
DERMATOLOGY IN MEDICINE, ITYRIASIS VERSICOLOR, DERMATOPHYTOSIS, PEDICULOSIS, CHICKEN POX, SHINGLES (herpes zoster), ACNE VULGARIS, ECZEMA, SCABIES, APHTHOUS ULCER
Psychiatry In Medicine
Psychiatry In Medicine Aggressive Psychiatric patient: Inj. Serenace 5mg (Haloperidol) +Phenergan 12.5mg IM stat. Psychiatric consultation. Alcohol withdrawal: For withdrawal syndromes (anxiety, sweating, tremor, impairment of sleep, convulsions, hallucination) Inj. Lorazepam or Diazepam or Chlordiazepoxide (librium) 1 amp slow IV stat. Inj. Thiamine 100 mg IV stat. Tab. Lorazepam 2mg 1-1-2 or tab Dizepam 5mg
Scrub Typhus
Scrub Typhus Cause, Symptoms, Signs, Investigations, Treatment Infective organism: Orientia Tsutsugamushi is parasite of rodents & transmitted by bite of Chiggers (larval trombiculid mites). humans infected when encounter infested vegetation (grass and brush), where mites live. Bite will be unidentified and painless. Vertical transmission present & blood transfusions may transmit pathogen. Incubation period: 1 to
Fever Evaluation
Approach to Fever Evaluation/ short Febrile Illness Sepsis: In infants and children sick looking, poor activity, toxic. Ask about feeding and urine output. Myocarditis: Tachycardia out of proportion (>10 beats/ degree F Or >18 beats/degree C. Pneumonia: Tachypnea out of proportion (RR>30/’) Meningitis: Altered sensorium Impeding shock: Always check BP sick patients Common foci of
Septicemia Cellulitis Treatment
Septicemia Cellulitis Treatment Organisms 1. staphylococcus aureus; 2. streptococcus pyogenes Septicemia Cellulitis Treatment Ampicillin with Cloxacillin Igm V Q6H+ Gentamicin 3-5 mg/kg as single dose daily or Amoxyelav 1.2gm IV Q8H+ Gentamicin/ Tobramycin 3-5 mg/kg/day IV Amikacin 15mg/ kg day IV OD + or Ciprofloxacin 200mg IV Q12H or Cefazoline Igm IV Q12H For serious
Status Epilepticus Treatment
Status Epilepticus Treatment, Seizures lasting for more than 30 minutes or recurrent seizures without full recovery in between episodes. Lorazepam
Septicemia Abdominal Infections Treatment
Septicemia Abdominal Infections Treatment Organisms responsible 1.Enterobacteriaceae 2.Streptococcus faecalis 3.E.coli 4.Klebsiella 5.Anaerobes like Bacteroids, gram-negative aerobic and facultative organisms. Investigations CBC Blood culture USG Septicemia Abdominal Infections Treatment 1. Cefaperazone with Sulbactum 1-2 Cefpirome 1-2gm IV Q12H or Ceftazidime 1-2gms IV Q8H IV Q12H or Ceftazidime 1-2 gm IV Q 8H+ Metronidazole 500mg Q8H Or
Urinary Tract Infection Treatment
Urinary Tract Infection Treatment (Septicemia) Clinical features Fever with chills and rigors, Dysuria, lower abdominal pain and loin pain Investigations CBC Urine microscopy Urine culture Blood culture USG Organisms responsible 1. E.coli 2. Klebsiella 3. Proteus 4. Enterobacter 5. Pseudomonas 6. Enterococcus faecalis 7. Staphylococcus aureus Urinary Tract Infection Treatment In patients who
Pneumonia Treatment
Pneumonia Treatment Introduction Pneumonia it means consolidation is defined as Inflammation in lung, characterized by accumulation of secretion and inflammatory cells in alveoli. Clinical features Of Pneumonia: Frequent symptoms: Fever- high grade, associated with chills and rigor. Cough Productive- mucoid, purulent or blood tinged, rusty. Non productive Pleuritic chest pain. Dyspnoea. Less frequent symptoms: Nausea,
Diabetic Ketoacidosis DKA
Diabetic Ketoacidosis (DKA) is a potentially fatal complication of diabetes mellitus. results from insulin deficiency association with stress
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease COPD (DAMA in Hindi) Clinical Features: Seen more in male than females More than 50 years of age Breathlessness (Dyspnoea on exertion) > 2 years duration Cough with expectoration Seen in smokers Present as exacerbation of breathlessness Physical Examination : Increase in Respiratory rate, use of accessory muscles of respiration.
Stroke
Definition Stroke (means Lakava in hindi) is a medical emergency and is characterized by the sudden onset of neurologic deficit of cerebrovascular origin. Associated with hypertension, diabetes mellitus, tobacco use, atrial fibrillation, atherosclerosis, etc. Stroke classification:- Ischemic stroke Hemorrhagic stroke Thromboticstep wise progression of symptoms Intra cerebral hemorrhageHeadache, vomiting, impaired consciousness embolicmaximum deficit at the