Infection/Immunology
Bacterial/Viral/Fungal Infections
. Barkley Chapters-->
Chapter 42: Urinary tract infections
Chapter 73: Fever
. Harrison's Chapters 115,117 and
- Chapter 115: Approach to the Patient with an Infectious Disease Links to an external site.
- Chapter 117: Approach to the Acutely Ill Infected Febrile Patient Links to an external site.
Harrisons table 139-3--Common Adverse Reactions to Antibacterial Agents
Currents Medical Dx and Tx 2019 Chapter 30- (Read fever, and STDs particularly--no specific drugs will be on the exam, you will look them up in clinical)
CMDT 2019 HIV: Chapter 31
Power Point:
Prescribing anti-infectives TRendulic 11.2017 (003).pptx Download Prescribing anti-infectives TRendulic 11.2017 (003).pptx
STD Images, symptoms, treatment (on exam must be able to dx from history and physical)- http://www.onhealth.com/content/1/sexually_transmitted_disease_std Links to an external site.
Always go to CDC guidelines for latest treatment (here is example but not on the exam
STD 2015-pocket-guide.pdf Download STD 2015-pocket-guide.pdf)
. Interpreting a urine culture and sensitivity: (discusses not only the lab report but further information about how to decide which antibiotic to use. ) Interpreting a Urine Culture & Sensitivity
Links to an external site.
The 2009 are the latest guidelines but we all know this is a big reimbursement driver. So after admission get a UA to indicate if a C&S is warranted. CAUTI https://www.cdc.gov/infectioncontrol/guidelines/cauti/index.html Links to an external site.
Bugs and drugs Bugs and Drugs.mp4 Download Bugs and Drugs.mp4
Infections and Antibiotic Therapy.ppt Download Infections and Antibiotic Therapy.ppt
Infection by CT.pptx Download Infection by CT.pptx
Sepsis: You will get more in NUR942
Over the years there have been developments in first treatment, then early identification, and now trying to identify infections and treat before get to the sepsis stage. Each stage is not perfect but with the continued high mortality and survivor risk of decreased quality of life, continued efforts are warranted.
Definition: Sepsis 3.pdf Download Sepsis 3.pdf JAMA 2016, 315(8) 801-810.
Guidelines - read what is in bold type. Surviving_Sepsis_Campaign___International.15.pdf Download Surviving_Sepsis_Campaign___International.15.pdf
Figure 3 of A_Users__Guide_to_the_2016_Surviving_Sepsis.1.pdf Download A_Users__Guide_to_the_2016_Surviving_Sepsis.1.pdf
Sepsis management Sepsis mgmt alt to single definition.pdf Download Sepsis mgmt alt to single definition.pdf
Fever
Barkley Chapter
The 5 W's For Remembering Common Causes of Fever Post-Operation:
WATER, WIND, WALK, WOUND, & WEIRD DRUGS
WATER = urinary tract infections
WIND = atelectasis or pneumonia
WALK = deep vein thrombosis
WOUND = surgucal wound infection
WEIRD DRUGS = drug induced fever
Case Fever Case 47.pdf
Download Fever Case 47.pdf
Immunology
Barkley’s Chapter 55: Arthritis p469-
Barkley’s Chapter 67: HIV/AIDs p587-
Barkley’s Chapter 68: Autoimmune Disease p601-
Additional notes (not on exam but good resources)
FYI resource available: http://wwwnc.cdc.gov/travel/destinations/list Links to an external site. At this site you can look at country/areas that are specifically traveled to help assess for the right infection (reference only)
I also wanted to share some information about the Sanford Guide.
http://www.sanfordguide.com
Links to an external site. It is a site that you have to download for a fee - but it has an amazing list of both infections by diagnosis name AS WELL AS the lists by the actual name of the bacteria, fungus, virus, etc. I think it is great b/c if you get a culture test back with information that you don't have a clue about then you can look it up via the technical name of the species, etc. It of course then gives you the option to see the primary regimens for tx, alternatives, important tips, etc. The site now charges differently for the annual subscription if you do/do not want the part that has the Hepatitis or HIV/AIDS section which makes it even cheaper. I am not sure if you have seen it, but I was fascinated by the ease of looking up stuff.
One of the options for their products that I think is most helpful is the "Sanford guide to antimicrobial therapy". This is the one that allows you to put the information regarding the infection name in (such as influenza or tinea pedis, etc.and everything under the sun in the middle) as well as allowing you to enter the actual species of the germ (bacterial, fungal, viral, parasitic, etc). You can put these on your phone as an app and it is essentially the same as having the little sanford guide book in your pocket but even better b/c you don't have to buy a new one when published, you can just update the app and anything new is updated automatically.