hi doc, oms2 here. thanks so much for the video. i have a feeling that i'll be back to review this video in 10 months when I start clinical rotations. your videos are so clear and easy to follow, and not many medical-related youtubers put out content regarding clinical management like you do. thanks for all the hard work, please keep the videos coming :)
Great video as always. An interesting note that I learned recently is if you suspect MRSA PNA that Linezolid may be a better choice than Vanco as it has better coverage against toxigenic strains of Staph which can cause necrotizing pneumonia.
8:07 can a "severe CAP" present like a very mild pneumonia with dyspnea as only symptom IN a patient with CKD stage 5 and on dialysis. Would that warrant a bloodculture, leggionella/pneumophilia urine antigens and legionella sputum culture? Because in this example he would have very bad immunity. I have a feeling that when someone has bad immunity they wont have strong symptoms(?). Thank you
Hi doc I really enjoyed how simple and updated this video is !! I do have a question that I was pimped on as a student and I still do not know the answer my attending wanted it. How do we differentiate between viral and bacterial pneumonia in clinically (without any testing or workup) I have tried every answer & did not succeed lmao.. any ideas? I'm still curious
What about for outpatient comorbitities like ulcerative colitis and on Remicade IV? Could you give one rocephin shot and azithromycin? The clinic carries ceftriaxone in office. Coukd you give one shot of ceftriaxone and send home with 3 days of Azithromycin?
My father is recently hospitalized for pneumonia that affected in the lungs caused severe fluid to collapsed. In his ultrasound report it says like this: The both costal phrencis angles lung showing a fluid collection central anechoic with lung collapse the measurement size in the right side is 8cm x12cm and the left side the size is 8cmx11 cm . Impression: Bilateral sever pleura effusion. So Do you recommend an aged intubated patient with oxygen dependent to be done Thoracentesis procedure or Pneumothorax procedure bilateral on the chest to remove or drain fluid. I'm so warried about this and led me consult so many doctors just to collect ideas before is being done . Your consultation is much need for my farther and could be life saving. I wish u reply to me as soon as possible. Thanks
Thank you so much Doc! You are helping a lot of us newbie docs. Please keep 'em coming. More power!
This is actually fascinating how much broader coverage you do in the US.
very nice review - thanks Dr. Suppy!
hi doc, oms2 here. thanks so much for the video. i have a feeling that i'll be back to review this video in 10 months when I start clinical rotations. your videos are so clear and easy to follow, and not many medical-related youtubers put out content regarding clinical management like you do. thanks for all the hard work, please keep the videos coming :)
Thank you very much, very helpful
Thank you for the information - very good
Can you publish your anki decks? It would be incredibly helpful for residency.
Would also LOVE his decks. Did he get back to you?
@ Dr. Liu can you please share your cards
Great video as always. An interesting note that I learned recently is if you suspect MRSA PNA that Linezolid may be a better choice than Vanco as it has better coverage against toxigenic strains of Staph which can cause necrotizing pneumonia.
Thank you for that pearl!
Thank you! should you avoid physical activity and exercise during pneumonia?
Thank you Dr. Liu. Amazing video!
excellent video, thanks
Looking forward to the procal video. I’m a big fan of using procal to help DC abx
Incredible video! I'm going to tell everyone who is learning about pneumonia about this video
Great video, thanks doc.
Thank you!!
8:07 can a "severe CAP" present like a very mild pneumonia with dyspnea as only symptom IN a patient with CKD stage 5 and on dialysis. Would that warrant a bloodculture, leggionella/pneumophilia urine antigens and legionella sputum culture?
Because in this example he would have very bad immunity. I have a feeling that when someone has bad immunity they wont have strong symptoms(?).
Thank you
Thank you so much. ❤
Hi doc I really enjoyed how simple and updated this video is !! I do have a question that I was pimped on as a student and I still do not know the answer my attending wanted it. How do we differentiate between viral and bacterial pneumonia in clinically (without any testing or workup) I have tried every answer & did not succeed lmao.. any ideas? I'm still curious
What anki deck do you use?
My own cards!
What about for outpatient comorbitities like ulcerative colitis and on Remicade IV? Could you give one rocephin shot and azithromycin? The clinic carries ceftriaxone in office. Coukd you give one shot of ceftriaxone and send home with 3 days of Azithromycin?
Great video Dr. Liu
Thanks! :)
My father is recently hospitalized for pneumonia that affected in the lungs caused severe fluid to collapsed. In his ultrasound report it says like this: The both costal phrencis angles lung showing a fluid collection central anechoic with lung collapse the measurement size in the right side is 8cm x12cm and the left side the size is 8cmx11 cm .
Impression:
Bilateral sever pleura effusion.
So Do you recommend an aged intubated patient with oxygen dependent to be done Thoracentesis procedure or Pneumothorax procedure bilateral on the chest to remove or drain fluid. I'm so warried about this and led me consult so many doctors just to collect ideas before is being done .
Your consultation is much need for my farther and could be life saving.
I wish u reply to me as soon as possible. Thanks
What about icu
Does receiving IV Abx within 90 days of presentation alter treatment/ABx choice?
Not a dr. Is cipro ok to take?
In hospital patients with underlying respiratory disease such as COPD and experiencing COPD exacerbation, would you go a head an give steroids then?
Yes! If wheezing definitely warranted. There’s even some data supporting steroid use in severe community acquired pneumonia by itself too
HI SUPPY