Patrick Ching · @patrickching
186 followers · 142 posts · Server med-mastodon.com

👉 can incubate for a year or more
👉 If risk exposure has occurred, it is never too late to start post-exposure prophylaxis
👉 According to both WHO and CDC guidelines, a decision to vaccinate is a decision to use RIG as the vaccine will not kick in for several weeks

#rabies #IDMastodon #MedMastodon #impearls #MedEd

Last updated 1 year ago

Patrick Ching · @patrickching
177 followers · 124 posts · Server med-mastodon.com

Elderly and catheterized patients have a high incidence of asymptomatic bacteriuria. Abnormal UA in asymptomatic patient does NOT necessarily require treatment.

#asymptomaticbacteriuria #medicine #MedMastodon #IDMastodon #impearls #antimicrobialstewardship #antimicrobialresistance

Last updated 2 years ago

Patrick Ching · @patrickching
177 followers · 123 posts · Server med-mastodon.com

Symptoms that do NOT warrant investigation for include change in the color, odor, or consistency of the urine

#UTI #MedMastodon #IDMastodon #impearls #MedEd #medicine #antimicrobialstewardship

Last updated 2 years ago

Patrick Ching · @patrickching
160 followers · 103 posts · Server med-mastodon.com

In pregnant women with fever and unexplained severe , disseminated infection should be considered. Start empiric IV acyclovir pending confirmation.

#hepatitis #hsv #IDMastodon #MedMastodon #impearls #medicine #Gastrodon

Last updated 2 years ago

Patrick Ching · @patrickching
153 followers · 98 posts · Server med-mastodon.com

Pts w presumed exacerbation that are unresponsive to conventional tx (steroids, abx, bronchodilators) should be evaluated for :lung:

#COPD #pulmonary #embolism #pe #medicine #MedMastodon #impearls #Pulm #PulmCC

Last updated 2 years ago

Patrick Ching · @patrickching
136 followers · 65 posts · Server med-mastodon.com

Topiramate is a carbonic anhydrase inhibitor that causes ⬇️ urinary citrate excretion & formation of alkaline urine that favor the creation of calcium phosphate :renal: stones

#MedMastodon #MedEd #medicine #Nephrology #NephMastodon #impearls

Last updated 2 years ago

Patrick Ching · @patrickching
114 followers · 29 posts · Server med-mastodon.com

Hepatocellular may develop in chronic B infections in the absence of

#carcinoma #hepatitis #Cirrhosis #MedMastodon #IDMastodon #Gastrodon #impearls

Last updated 2 years ago