Know Your Guidelines – What Kind of Pneumonia?

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Guideline Knowledge Check, Medical News

Emergency Medicine Guidelines Knowledge Check Pneumonia

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Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine Editor-in-Chief, Andrea Eberly, MD, FAAEM.

Based on the current Infectious Diseases Society of America Pneumonia Guidelines …

Was an entire category of pneumonia eliminated?

Yes or No?

Try this review question and find out if you're following the most current guideline.

Guideline Review Question

A 78-year-old resident of a nursing home was discharged from the hospital after a brief admission for unstable angina. She now presents again to the emergency department 3 days after her hospital discharge febrile and with shortness of breath. A chest x-ray shows a single lobe infiltrate without other pathology. The patient is alert, pOx on 2 L NC is 96%; T 38.8°C, RR 20 without retractions or stridor, BP 100/65, P 110. According to the most recent (2016) pneumonia guidelines from the Infectious Disease Society of America (IDSA), the patient has what type of pneumonia?

Health care-associated pneumonia (HCAP)

Community-associated pneumonia (CAP)

Hospital-associated pneumonia (HAP)

Multidrug resistant pneumonia with sepsis syndrome (MRPS)

Answer Explanation & References:

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With each update of national clinical practice guidelines, some recommendations change and many remain unchanged. Med-Challenger Guideline Knowledge Checks help you know both what is new and what has stayed the same in the most recent guidelines pertinent to each medical specialty.

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About the Author:

Andrea Eberly, MD, FAAEM graduated from the David Geffen Medical School of Los Angeles (UCLA) and completed her residency in Emergency Medicine at the University Medical Center, Tucson, Arizona. After working as an attending physician in Tucson, she followed a recruiting call to the island of Guam, where she served in various roles, including as the director of the emergency department, the EMS Medical Director of Guam, and the Director of the 911 Call System. She has maintained her emergency medicine board certification through three cycles of American Board of Emergency Medicine Board Exams (last in 2014), all three with the help of Med-Challenger.

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