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Neutropenic fever: quick reference for emergency management

…count is available. The nadir often occurs 7 to 14 days after a course of chemotherapy, but the timing varies considerably between regimens. Neutropenia can…

Antibiotic dosing in renal impairment: quick reference

…not use Nitrofurantoin: as a general rule the drug is contraindicated at an eGFR <45 mL/min. A short course (no more than 7 days…

Empirical antibiotic therapy: quick reference for common infections

…4 PO 10 days Clostridioides difficile, high risk of recurrence fidaxomicin 200 mg × 2 PO 10 days In appendicitis, cholecystitis, diverticulitis and pancreatitis, antibiotics are…

Common laboratory tests

…µg/L (women 10–150) An acute phase protein — a normal ferritin does not exclude iron deficiency in the presence of inflammation Transferrin saturation 15…

Epistaxis — compression, cautery and anterior nasal packing

…is not burned. 5. Inspect again after 10–15 minutes. If the bleeding persists after two attempts — move on to packing. 6. Apply antibiotic ointment…

Sepsis and septic shock: quick reference for the first hour

…If the suspicion persists, antibiotics must be given within three hours. The evidence for an absolute one hour requirement is clearest in septic shock and…

Wound suturing

…are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis, often with antibiotic prophylaxis. Deep puncture wounds …

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…formation Antibiotics and soaks alone Ingrown nail with mild inflammation Splinting with a cotton wisp Ingrown nail with moderate inflammation Splinting with a strip of…

Abscess incision and drainage

…abscess, hidradenitis abscess and paronychia with a collection of pus. Persistent painful induration after a few days of antibiotics — suggests that an abscess has formed…

Lumbar puncture

…the scan contributes. Only clinical signs of herniation halt the puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures. For questions…

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