A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
PID encompasses all infections of the female upper reproductive tract, including endometritis, myometritis, salpingitis, tubo-ovarian abscess, parametritis, oophoritis, peri-appendicitis, perihepatitis, and pelvic peritonitis. Per CDC guidelines, diagnosis requires at least one of three minimum criteria: cervical motion tenderness (CMT), uterine tenderness, and adnexal tenderness.
Nanditha Ravichandran MD & Eric Leser MD
Read MoreInfluenza A is frequently a big culprit of respiratory illness during the winter months. Inevitably, the question often arrives from consultants, attendings, or colleagues at sign-out, “Did they get Tamiflu?” This is often met with a variety of responses and debates regarding its efficacy at times. However, what does the literature actually say regarding the use of Tamiflu?
Kathryn McGregor, MD and Eric Leser, MD
Read More
Source: https://en.wikipedia.org/wiki/Acute_respiratory_distress_syndrome#/media/File:ARDSSevere.png
A 78-year-old female presents with dyspnea, and her chest x-ray demonstrates signs concerning for community-acquired pneumonia (CAP). Despite your best interventions, her oxygenation and work of breathing are worsening, so you call Respiratory Therapy to initiate high-flow nasal cannula. Meanwhile, you’re left thinking, “Would steroids help turn her around? But what are the guidelines - are steroids best used for CAP or sepsis or both? What kind of CAP? When and how much?”
Taylor Wahrenbrock, MD; Kathryn McGregor, MD; and Eric Leser, MD
Read More