【Skin manifestations of Pseudomonas aeruginosa】
It's important to understand P. aeruginosa can cause various specific clinical skin and soft tissue infections!
Level: Intermediate
Importance: ★★★
#IDMedEd#IDFellow#IMMedEd#IMResident#Pseudomonas
𝗥𝗼𝗺𝗯𝗲𝗿𝗴'𝘀 𝘀𝗶𝗴𝗻, 𝗮𝗹𝘀𝗼 𝗸𝗻𝗼𝘄𝗻 𝗮𝘀 𝗥𝗼𝗺𝗯𝗲𝗿𝗴'𝘀 𝘁𝗲𝘀𝘁
◦ Clinical test used to determine the integrity of the dorsal column pathway of the brain and spinal cord, which controls proprioception.
◦ The patient stands with their feet together, first with eyes open and then closed. The test's crux lies in observing the patient's ability to maintain balance under these conditions. A significant increase in unsteadiness or loss of balance on closing the eyes is considered a positive Romberg's sign.
◦ Often the Romberg's test can be confused as a sign of cerebellar disease, but this test demonstrates the effects of posterior column disease. Normal stance in a person is governed by the integrity of vision, proprioception, and vestibular function.
◦ This test is quite helpful in a broad range of neurologic disease states in assessing and confirming various neurological conditions including:
- Parkinson's disease (causes postural instability and a shuffling gait)
- Friedreich's ataxia (causes staggering gait and frequent falls)
- Vitamin B12 deficiency (causes ataxia gait)
- Tertiary syphilis (causes sensory ataxia; impaired proprioception)
- Normal pressure hydrocephalus in the elderly (truncal ataxia with falls)
- Wernicke's syndrome (associated with chronic alcoholism which causes limb ataxia).
- Ménière's disease.
Interpretación del MAPA (monitoreo ambulatorio de presión arterial)
¿Cuales son los valores para diagnosticar hipertensión arterial según el MAPA?
- Promedio 24 hrs > o = 130/80
- Diurno > o = 135/85
- Nocturna > o = 120/70
*Descenso de un 10% PA🌙 con relación a la diurna
【Encapsulated Organisms】
Important to know these encapsulated pathogens, especially in infections in asplenic patients!
Some Nasty Killers Have Some Capsule Protection
Level: Intermediate
Importance: ★★★
#IDMedEd#IDFellow#MedEd#TxID#IMResident
🆕 Nuevos criterios de Cetoacidosis diabética.
👉🏻Hiperglucemia > 200 o antecedentes de #diabetes
📈 El ritmo de aumento de las cetonas es más importante que los valores absolutos.
#ADASciSessions
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