Pulmonary teaching case: you are called to the bedside of a 60yo man who was admitted for pneumonia a week ago. You were called because “he coughed and now his chest is PULSATING!”
This is what you see at the site of a previously removed chest drain:
What’s the diagnosis?
1/
We often take breathing for granted, but what if one day, those 23,000 breaths dwindled down to a desperate struggle for just one?
Don’t wait. Get vaccinated.
Because every breath is worth fighting for.
Breathe Strong, Philippines!
#WorldPneumoniaDayPH#WorldPneumoniaDay
@earlouismd what if it's not pneumonia in the first place? Pneumonia vs Congestion is a frequent battle. we should also advocate for Abx stewardship across diff subspecialties #PneumoniaChat
A3: Use antibiotics wisely by 1) starting broad *only* when bacterial pneumonia is likely, 2) narrowing once cultures, antigen tests, and/or clinical data clarify the cause, & 3) stopping when the patient stabilizes, fevers resolve, & a 5-7 day course finishes #PneumoniaChat
@earlouismd Clinical parameters such as resolution of fever, improvement of symptoms: less cough, less dyspnea; decreasing O2 requirement are signs that the patient is improving. Recent studies show no add'l benefit with longer Abx tx duration: 5days should be enough #PneumoniaChat
@earlouismd Some literature mention Pressure Swing Adsorption plants in hospitals which is more cost effective than traditional cylinders. Available in the Philippines already! Could be useful in rural areas, govt hospitals #PneumoniaChat
@earlouismd So glad the pulse oximeter is more readily available at a low cost -- provides objective measure and guides patients re urgency and the need for higher level of care #PneumoniaChat
@earlouismd in pneumonia management, Non‐invasive ventilation can reduce the risk of death in the ICU, endotracheal intubation, shorten ICU stay and length of intubation. https://t.co/T9dhyUGgN7 #PnuemoniaChat
@earlouismd knowledge in the use of biomarkers like procal and crp may help
facilitate starting antibiotics in pneumonia https://t.co/aQ9TPXTT2N #PneumoniaChat
@earlouismd rapid molecular diagnostics helps and facilitates early identification of organisms that has caused pneumonia https://t.co/W76i4MEBuq #PneumoniaChat