Category: Infection

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Overview Inflammation of endocardium Non infective endocarditis Lieman Sacks Endocarditis from SLE, from autoimmune disease Bacterial endocarditis – bacterial enters blood stream Skin: iv catheter, iv drug – Staph Gums: dental procedure, V Strep Guts: colon cancer, ulcerative colitis – Enterococcus Most commonly affected Mitral valve Aortic valve Risk...

HIV associated neurocognitive disorder HANDS Asymptomatic neurocognitive impairment Mild neurocognitive disorder HIV associated dementia Risk factors low CD4 count, high plasma viral levels older age duration of infection head injury Imaging MRI patch white matter changes CSF: elevated CSF protein, hiv levels Evaluate for other causes Especially those with...

Since you are at home – relax Google – Arts and collections – You can view at home the collections of all the major museums in the world. USA today – relax and view some photo slides – click on a photo to start slide show Live Science –...

Topic Seasonal Flu (usually called the flu), is different from pandemic flu COVID-19 or corona virus First reported years ago, returned every year Nov 2019 Season starts Oct, ends early April, peak in Feb every year started in Wuhan in Nov 2019, ends?? Will it recur? Transmission droplets in...

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Antiviral therapy Oseltamivir (Tamiflu) 75 mg bid x 5 days (about $30) available in 30, 45, 75 mg generic may cause headache, vomiting reduce symptom duration by about 3 days Greatest benefit if given in first 48 hr of illness. May still effective after 48 hr Baloxavir (Xofluza) Dose...

Brand name: Z-Pak Broader spectrum than erythromycin Long intracellular half life Usual dose for community acquired pneumonia, COPD bacterial exacerbation: 250 mg tab, dispense 6: 2 tab first day, then 1 qd for 4 more days....

For flu and corona virus epidemic For all patients with upper respiratory symptoms: cough, shortness of breath, runny nose Please ask patient to wear a face mask Office cleaning procedure Clean exam room, including door knob once every 2 hour while we are seeing patient Assign one office staff...

COVID-19 Update 03/13/2020 New info Harvard Covid-19 Toolkit – including post for patient Tomas Pyeyo – Coronavirus: Why You Must Act Now updated 3/13/20 This article has received 24 million views in the last 72h. An indepth analysis of: How many cases of coronavirus will there be in your...