Community Acquired Pneumonia

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  • Опубликовано: 29 окт 2019
  • A review of the clinical presentation (symptoms and exam findings), microbiology, prognostication, and treatment of community acquired pneumonia - including incorporation of the long-awaited 2019 IDSA/ATS CAP guidelines.
    This is a continuation of Strong Medicine's ongoing Intern Crash Course series.
    2019 IDSA/ATS CAP Guidelines: www.atsjournals.org/doi/full/...
    Strong Medicine's video on identifying and classifying pneumonia based on chest X-ray: • How to Interpret a Che...

Комментарии • 38

  • @jordanthomas3346
    @jordanthomas3346 4 года назад +6

    Favorite part of these videos is the metal head opening and closing music. I headbang every time.

  • @nickgowen7737
    @nickgowen7737 4 года назад +23

    Great video as always. I can't believe how much you can teach in

  • @ninofuller173
    @ninofuller173 4 года назад +1

    Thank you Doctor!

  • @sharonquayle3290
    @sharonquayle3290 4 месяца назад

    Excellent review of CAP for me, an OB/GYN several years out of training. Thank you!

  • @jazminbrantley3325
    @jazminbrantley3325 2 года назад

    Great video, very informative! Thank you!

  • @darrenmarchant1720
    @darrenmarchant1720 4 года назад +6

    when I was diagnosed with pneumonia while working in Dutch Harbor Alaska several years ago I was told that I would be susceptible to lung infections for the rest of my life. knowing that clearing the phlegm from my lungs was the most important part of my being able to protect myself in the future; was the stimulus for study into decongestants. what I found was that Anise had a history as a decongestant. from that point on I kept a large container with me at all times. I could not afford the store bought variety of commercial decongestant; nor did I like the side affects. the Anise would clear my congestion in minutes of drinking a strong infusion in hot water with honey & when I was very sick or others were sick at the same time I would make a big batch in a coffee pot with a can of cranberry sauce, cinnamon sticks, & honey. treating everyone at the same time worked very well to prevent the spread of the congestion.

  • @aabbuu3151
    @aabbuu3151 4 года назад

    Thank you for sharing informative videos... more power to you sir...

  • @SandraEkimoto
    @SandraEkimoto 3 месяца назад

    Dr. Strong, you should do Utilization Review training.

  • @dianaontiveros5347
    @dianaontiveros5347 4 года назад

    Is there any way to get the slides to your vídeos to take notes on? Also Thank you for making these videos!!

  • @nesreenabdelwahhab7667
    @nesreenabdelwahhab7667 4 года назад

    Thanks a lot

  • @ahmedshehata6231
    @ahmedshehata6231 2 года назад

    thank you

  • @lehu8529
    @lehu8529 3 года назад

    10:55 by adding pseudomonal coverage you mean switching Unasyn or ceftriaxone for cefepime for example?

  • @lehu8529
    @lehu8529 4 года назад

    What's the mechanism of a low hematocrit in pneumonia (4:20)?

  • @yatheeshkpyatheeshkp8587
    @yatheeshkpyatheeshkp8587 4 года назад

    Superb

  • @kevinhoward9593
    @kevinhoward9593 Год назад

    Ive been fighting it for over a week. its kicking my butt.

  • @ninofuller173
    @ninofuller173 4 года назад

    Where can I find Intern Crash Course, please so I can subscribe

  • @storestore2273
    @storestore2273 4 года назад

    Thank you for your video sir! I still have one question: What is the pathophysiology for low White blood cells and hypothermia in severe pneumonia? Thank you very much!

    • @lehu8529
      @lehu8529 4 года назад +2

      I think a low WBC count may be seen in patients with pneumonia, who are already septic.. there are some papers that talk about a massive consumption of neutrophils via NETosis, whereby neutrophils “sacrifice” themselves by extruding their DNA and other cell components to trap (hence the name NET or neutrophil extracellular trap) and kill bacteria.. here is an article talking about this:
      www.ncbi.nlm.nih.gov/pmc/articles/PMC4460910/#:~:text=We%20presume%20that%20the%20clinical,tissues%20and%20NETosis%20is%20induced.
      ...then I guess in severe sepsis it could also be from bone marrow dysfunction, simply as a component of multiple organ failure
      ...but I'm not entirely sure and would love to read some more comments about this :)

  • @darrenhirst9900
    @darrenhirst9900 6 месяцев назад

    Royalty never get the common cold 😂
    Thank you so much for this super video.

  • @PhilaPeter
    @PhilaPeter 4 года назад

    Back to back new CAP videos from Strong and IDPodcasts? What si the universe trying to tell me?

    • @StrongMed
      @StrongMed  4 года назад +1

      Lol. I assure you that it wasn't planned!

  • @RemiTa1st
    @RemiTa1st 3 года назад

    What does “negative prognostic marker” mean? Do we use it or do we not use it?

    • @StrongMed
      @StrongMed  3 года назад +2

      A negative prognostic marker is a test result (or occasionally an exam finding) that increases the chance a patient will have a bad outcome from their illness (e.g. death, require mechanical ventilation, prolonged hospitalization, etc...).
      So for example, in pneumonia, if the admitting doctor was trying to decide whether to admit a new patient to a regular medical ward or to the ICU, if the person's blood pH was unusually low, that would push the doctor to admit to the ICU since it suggests that the illness is more severe and that the patient requires closer monitoring.

    • @RemiTa1st
      @RemiTa1st 3 года назад +1

      Strong Medicine Thank you so much!

  • @gems1717
    @gems1717 4 года назад

    Plz make a video abt TRALI , TACO & ARDS HW TO DD & manage as ths r overlapping

    • @StrongMed
      @StrongMed  3 года назад +1

      This is a great suggestion! I just don't have the bandwidth to take on this topic right now, but hopefully some day in the future. I do have a video on lung protective ventilation within my mechanical ventilation series, but it's ~7 years old and slightly out of date.

  • @ahmedshehata6231
    @ahmedshehata6231 2 года назад

    💚🌷

  • @ninofuller173
    @ninofuller173 4 года назад

    How can I subscribe to your videos so I have a full access, please and thank u

    • @StrongMed
      @StrongMed  4 года назад +2

      Everyone has full access - I don't put any content behind firewalls, paywalls, or subscription barriers. The introduction to the intern crash course is here, and if viewing on a computer (i.e. non-mobile), subsequent videos in the series should be shown in the upper right corner: ruclips.net/video/BfWT8n8SaxY/видео.html

    • @ninofuller173
      @ninofuller173 4 года назад

      @@StrongMed Thank you so much for the reply and for everything u do!

  • @sanasunni5471
    @sanasunni5471 2 года назад

    👍🌹

  • @mauromadariaga9500
    @mauromadariaga9500 4 года назад

    Wena Eric

  • @gopalraj287
    @gopalraj287 3 года назад

    Kanda

  • @cfuenza4106
    @cfuenza4106 2 года назад

    Not your best video sadly! I think this subject deserves an update video!

    • @StrongMed
      @StrongMed  2 года назад +1

      I appreciate all feedback - but what specifically do you think needs to be updated? The video is only 2 years old.

  • @gailhall6283
    @gailhall6283 Год назад

    You should translate this into english so non-medical people like myself can understand WTH you are saying. The only words you said I can relate to are fever and walking pneumonia. That's why I will not finish watching this.

    • @StrongMed
      @StrongMed  Год назад +2

      I'm sorry you had trouble following this, but the video series this is a part of is literally entitled "Intern Crash Course". Its primary audience is people who have graduated medical school.

    • @gailhall6283
      @gailhall6283 Год назад +1

      I must apologize to you. I'm sorry. I got that wrong. I've been Ill with what appears to be pneumonia and my Doc is on vacation for 2 weeks. That's how I found your page. What I call medical speak is a whole real language to those like you and your audience. In the same way music is its own language to me. It can be read, written and expressed by a solo singer or an entire orchestra. Again, I'm sorry. All the best.