A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
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Why do we dose Metronidazole every 12 hours instead of every 8 hours in most infections? Antibiotic stewardship entails choosing the right dose and duration of antibiotics in addition to choosing when and what to give for infections. The following article aims to make you a better antibiotic steward.
Joanne Routsolias PharmD
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Figure 1. Index ECG notable for sinus tachycardia with inferolateral borderline ST-segment depressions.
The Case:
A 47-year-old M with a PMHx of unspecified substance use was transferred from blue team to red team for progressive altered mental status, fever, and episodes of severe bradycardia with confusion (ECG from Cook County). Figure 1 was obtained when the patient initially arrived to red team, and 40 minutes later Figure 2 was obtained, with the patient having intermittent tachycardia and bradycardia in between.
Jose Reyes, MD
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Figure 1. Still image of B-lines on pulmonary POCUS.
The Case:
A 55-year-old female with a past medical history of hypertension, end-stage renal disease (ESRD) on hemodialysis, insomnia, depression, and opioid use disorder presents with rapidly worsening dyspnea that began several hours prior to arrival. She endorses an associated cough productive of clear sputum and admits to inhalation opioid use the day prior. She most recently received hemodialysis two days earlier and has not missed any sessions recently.
Michael Dorritie, DO
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