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Diagnostics: Inflammatory Markers

Taming the SRU

Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Kinetics & Reference Range: Normal serum levels of PCT are < 0.05 J Arthroplasty. 2019 Feb;34(2S):S187-S195.

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EM@3AM: Erysipelas

EMDocs

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. Infectious Diseases Society of America. She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities.

EMS 84
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EM@3AM: High Priority Fungal Pathogens and Empiric Treatment in the ED

EMDocs

Empiric treatment with voriconazole 6 mg/kg twice daily intravenously for 2 doses should be started immediately based on Infectious Disease Society of America (IDSA) guidelines. 22-28 Disposition Consult infectious disease for all IFI patients to ensure appropriate antifungal stewardship.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. Case Resolution The patient and family remain in isolation and receive risk stratification assessment for a notifiable disease of public health concern.