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Introduction What is rabies? A very rare and aggressive encephalitis Global impact with exception of UK/Australia Animals whose bites/scratches may require prophylaxis Bats Dogs, Cats, Ferrits Other carnivorous animals Foxes, Coyotes, Skunks, Raccoons Post exposure prophylaxis Both Rabies vaccine and immunoglobulin When Do You Give Rabies Prophylaxis? Step 1: Bitten or scratched by domesticated pet? […]

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The only chief complaint that you are guaranteed to eventually have to manage in a colleague Respiratory Exposures Meningococcus​ (meningococcemia, meningitis, etc) Give prophylaxis (ceftriaxone) if… Intubated a pt without a mask Suctioned a pt without a mask Performed mouth to mouth resuscitation Tuberculosis​  CDC recommends testing if exposed Treat if positive CDC recommends prophylaxis in.. […]

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All breast complaints are cancer until proven otherwise!!! History Increased risk of breast cancer Family history of breast cancer (especially 1st degree) Delayed childbearing (no children until after 30) Age >50 Associated with menstrual cycle Exam Asymmetric appearance of breasts Palpable mass Red Flags Non-mobile Overlying skin changes Lymphadenopathy Located in upper/outer quadrant of breast […]

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The 3 Worst Causes of Neonatal Conjunctivitis Gonorrhea Causes corneal ulcers and sepsis Red flags 1st week of life Copious purulent drainage Diagnose with cultures Treatment Cefotaxime (3rd generation cephalosporin) Admit Chlamydia Occurs in 1st month of life Treat with PO erythromycin HSV Can disseminate to the brain Red flags Mother tested positive (or had […]