Assessment & Plan (short)
# Community Acquired Pneumonia (CAP)
Patient reports fever and cough, with CXR showing ***, concerning for CAP. No recent hospitalization or abx exposure.
Dx
- CBC, BMP, Lactate
- Influenza, viral panel, procalcitonin, sputum Cx per clinical scenario
- Defer BCx if clinically stable
- CPO
Tx
- CTX Doxy
- s/p *** L IVF
Assessment & Plan (long)
# Hospital Acquired Pneumonia (HAP)
Patient with symptoms of *** and CXR showing ***, ≥48 hours after hospitalization, in the absence of intubation. Past cultures notable for ***.
Dx
- CBC, BMP, Lactate, sputum Cx, BCx x2, CXR
- CPO
- Abx:
# Ventilator Associated Pneumonia (VAP)
Patient with fever, leukocytosis, and increased secretions ≥48 hours after intubations, concerning for VAP. Past cultures notable for ***.
Dx
- CBC, BMP, Lactate, BAL Cx, BCx x2, CXR
- CPO
- Abx: MRSA and Pseudomonal coverage
Organ systems
Medical field
Setting
Author
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Originally created: March 3, 2020 by Eric Lee
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