Extreme electrolyte disturbance: eg Na+ of 104 (less likely if it’s just 120 unless previous underlying seizure disorder)
ANY patient with syncope or seizure is legally not allowed to drive for 6 months (or more if they experience another event). Here are the Penndot/ DMV forms you can fill out to revoke their license. It’s not cruel.. you’re saving their and other people’s lives.
Other viruses (Coxsackie, Echo, HSV, **EBV**, **HIV**)
Centor Criteria: (determines probability of GAS pharyngitis; if 4 criteria met: then can treat; 3 criteria: throat swab or treat; 2 criteria: no treatment though can test if personal preference; 0-1 criteria: unlikely GAS)
Fever (by history)
Tender anterior cervical adenopathy
Absence of cough
Uncomplicated cystitis: dysuria, urinary frequency/urgency; no fever or flank pain; (non-pregnant females only)
Complicated: same diagnostic s/s as uncomplicated; (all others: males, any medical illness such as DM, pregnant)
Acute Pyelonephritis: cystitis criteria with flank pain and/or fever
Females with h/o UTI have relatively high specificity for self-diagnosing UTI–> so you can treat over the phone if uncomplicated!
Check out the lecture powerpoint here! (password: same as the amion password)