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Pleural Effusion

Keywords just in Med wise !

• Pleural effusion + High TG >110 = Chylothorax


• Pleural effusion + High Neutrophils = 3 P,s ( PE,parapnemonia,pancreatitis )
• Pleural effusion + High lymphocytes = CTR ( Cancer ,TB,Rheumatologic )
• Who we make DD ? 3C
- Cytology
- Glucose
more then 60 – TB
Less then 60 – Cancer . Rheumatologic
- CT
Asthma
Asthma Exacerbation

Questions!
•Asthma + Vasculitis ?
• Asthma + Dysphagia ?
•Asthma + nasal polyps+ Aspirin sensitivity ?
•Asthma + sputum + Hyper IgE ?
Question !
Asthma exacerbation

- Oxygen if below 90% - first step


- Bronchodilators (SABA)
- Systemic steroids for 5 days
COPD
COPD Exacerbation
Pneumonia
Key words Questions ?

• Pneumonia + Hospital >48 h = HAP ( Pseudomonas + E.Coli )


• Pneumonia + COPD = Pseudomonas
• Pneumonia + CF = Pseudomonas
• Pneumonia + mechanical ventilation = VAP (Pseudomonas , MRSA TX.
vancomycin)

• Where we have also Pseudomonas in IMLE ?


Pneumonia
Key words Questions ?
• Pneumonia + Water/air conditioner = legionella Tx.
Azitromycin,levofloxacin
• Pneumonia + purulent conjunctivitis +staccato cough ? Dx , Tx
• Pneumonia + Animals placenta = coxiella
Pneumonia+ HIV= PCP Tx. TMP-SMX
Anemia & Hemolysis
Questions ?
Leukemia !
Questions

• AML m3 – ATRA
• CML- Imatinib
• CLL – 0,1,2 (X) , 3+ 4 – Rituximab
• ALL – intrathecal MTX
I.V Fluids !
07.2022
07.2022
HF
07.2022
DM & DKA
07.2022
Thyroid storm VS myxedema
Renal VS prerenal

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