By Kevin Conrad
Hospital medication has improved past the perform of inner drugs to co-manage sufferers within the fields of orthopedics, neurosurgery and basic surgical procedure. This concise consultant covers the evolution and increasing scope of health facility drugs and the diversity of scientific, moral and administrative occasions a Hospitalist encounters. 500 questions about inpatient care, co-management of sufferers and health facility procedure administration are supplied with the objective of assessing scientific and educational competency. Questions function genuine instances with evidence-based recommendations. necessary to physicians, apartment employees and complicated nurse practitioners, this updated referenced studying textual content encompasses all facets of clinic care.
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Extra info for Absolute Hospital Medicine Review: An Intensive Question & Answer Guide
She was treated for a possible urinary tract infection with ciprofloxacin. She works in a day care facility, where there has been an outbreak of a febrile illness with a rash during the past few weeks. The patient has a history of hereditary spherocytosis. On physical examination, she is pale, somewhat lethargic, but otherwise there are no significant findings. 5 %. Which of the following is the most likely diagnosis for this patient? A) Acute leukemia B) Glucose-6-phosphate dehydrogenase (G6PD) deficiency C) Systemic lupus erythematosus D) Hereditary spherocytosis in hemolytic crisis E) Aplastic crisis caused by parvovirus B19 Answer: E This patient has a parvovirus B19 infection.
A) Serum and urine electrophoresis B) Bone marrow aspiration and biopsy C) CT of the chest, abdomen, and pelvis D) Rheumatoid factor and anti-cyclic citrullinated peptide antibody E) Antinuclear antibody and anti-double-strand DNA antibody assay Inpatient Medicine Answer: E This patient has drug-induced lupus erythematosus (DILE). The most common drugs that cause DILE are hydralazine, procainamide, quinidine, isoniazid, diltiazem, and minocycline. He has new-onset fever, arthralgia, myalgia, nonblanching purpuric rash, pleuritis, pancytopenia, and proteinuria with active urine sediment.
The patient is hemodynamically stable, afebrile, with WBC of 11,000. What should be done next? A) CT-guided aspiration for culture and gram stain B) Repeat CT scan in 48 h C) Immediate initiation of broad-spectrum antibiotics D) Referral to general surgery for immediate debridement E) Continued observation and hydration Answer: E The current recommendations do not support the use of prophylactic antibiotics to prevent pancreatic infection among patients with necrotizing pancreatitis. Some studies suggest that the use of potent antibiotics may lead to a superimposed fungal infection.